Kathleen Ann Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

352-C Issued in AR

Practice address

4 East Cherokee Village Mall
Cherokee Village, AR 72525

Phone

(870) 257-3336

Fax

(870) 257-3339

NPI assigned

Mar 3, 2009

Sex

Female

Sole proprietor

Yes

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Bokker Enterprises, Inc.

  • Community/Behavioral Health Agency
  • Highland, AR
  • NPI 1508040262
  NPD (past)
• Bokker Enterprises, Inc.

  • Community/Behavioral Health Agency
  • Salem, AR
  • NPI 1821564436
  NPD (past)
• Delta Counseling Associates Inc

  • Community/Behavioral Health Agency
  • Monticello, AR
  • NPI 1053364612
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Apr 23, 2010.

{
    "created_epoch": "1236038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271980800000",
    "number": "1407096415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 176",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "72525",
            "telephone_number": "870-257-3336",
            "fax_number": "870-257-3339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 EAST CHEROKEE VILLAGE MALL",
            "city": "CHEROKEE VILLAGE",
            "state": "AR",
            "postal_code": "72525",
            "telephone_number": "870-257-3336",
            "fax_number": "870-257-3339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KATHLEEN",
        "middle_name": "ANN",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-03",
        "last_updated": "2010-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "352-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• White River Health System, Inc.
• White River Health System, Inc.
• White River Health System, Inc.
• White River Health System, Inc.
• White River Health System,Inc.
• Terry Jo Wolverton, RN
• Brandon Dale Womack, APRN
• Laura Ann Wood, LPN
• Timothy Young, MD

• All providers in Cherokee Village, AR
• Clinical Social Worker in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 2010; 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.