Kimberly Mae Williams, LSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW.09927843 Issued in CO

Practice address

1125 Three Springs Blvd
Durango, CO 81301-9033

Phone

(970) 403-0180

NPI assigned

Nov 20, 2019

Last updated

Dec 28, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1574208000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640649600000",
    "number": "1376189860",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 SUTTLE ST",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813038276",
            "telephone_number": "970-335-2232",
            "fax_number": "970-335-2438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1125 THREE SPRINGS BLVD",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813019033",
            "telephone_number": "970-403-0180"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "middle_name": "MAE",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-20",
        "last_updated": "2021-12-28",
        "certification_date": "2021-12-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CO",
            "license": "CSW.09927843",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ilse Willenbuecher, LPC
• Colleen O'Connell Williams, CNM
• Eve Nicole Williams, LCSW, LAC
• Jeffrey S Williams, D.O.
• Judith Ann Williams, RN
• Kory Lynne Williams, P.A.C
• Morgan Williams, LCSW, LAC
• Sarah Williams, ATC
• William Thomas Williams, MD
• Sierra R Williamsen, LPC

• Clinical Social Worker in Durango, CO
• Providers in Durango, CO by specialty
• Clinical Social Worker in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.