Jennifer Dawn Williams, CSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

1143 Fairway Street
Suite 103
Bowling Green, KY 42103-2452

Phone

(407) 347-4536

Fax

(812) 285-8392

NPI assigned

Apr 12, 2018

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

Other names 1

• Jennifer Campbell, Forester Former name

Medicare fee-for-service enrollment

Enrolled in KY, IN2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 2

Specialty

Clinical Social Worker

Education

Other, 2012

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Lake Substance Abuse Solutions LLCGroup PAC ID 8123440401, 20 clinicians

Daviess County HospitalGroup PAC ID 1557271665, 67 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Daviess Community Hospital Hospital, Washington, IN, CCN 150061

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Daviess County Hospital

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1619154820
  Medicare reassignment Care Compare group NPD
• Lake Substance Abuse Solutions LLC

  • Psychiatric/Mental Health Nurse Practitioner
  • Jeffersonville, IN
  • NPI 1124598669

  KY

  Medicare reassignment Care Compare group NPD
• Kentucky Counseling Center, LLC

  • Counselor
  • Louisville, KY
  • NPI 1932590338
  Medicare reassignment NPD
• Daviess County Hospital

  • Orthopaedic Surgery Physician
  • Washington, IN
  • NPI 1083915326
  NPD
• Daviess County Hospital

  • Rural Health Clinic/Center
  • Montgomery, IN
  • NPI 1336959279
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Daviess County Hospital

  • Gynecology Physician
  • Washington, IN
  • NPI 1275482648

  Hospital

  Care Compare affiliation
• Daviess County Hospital

  • Medical Specialty Clinic/Center
  • Washington, IN
  • NPI 1275745002

  Hospital

  Care Compare affiliation
• Daviess County Hospital

  • Clinic/Center
  • Washington, IN
  • NPI 1629337589

  Hospital

  Care Compare affiliation
• Daviess County Hospital

  • General Acute Care Hospital
  • Washington, IN
  • NPI 1861465999
  Care Compare affiliation

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

{
    "created_epoch": "1523491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1467959775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY STREET",
            "address_2": "STE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1143 FAIRWAY STREET",
            "address_2": "SUITE 103",
            "city": "BOWLING GREEN",
            "state": "KY",
            "postal_code": "421032452",
            "telephone_number": "407-347-4536",
            "fax_number": "812-285-8392"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "DAWN",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-04-12",
        "last_updated": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JENNIFER",
            "last_name": "CAMPBELL, FORESTER",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Sean Timothy Willgruber, M.D.
• William a. Schwank, M.D.
• William J. Hanshaw, LMFT
• Alexander Williams
• Christopher Williams, LPCC
• Kaylee Williams
• Krista Lou Williams
• Neil Williams
• Shane Anthony Williams, D.M.D.
• Amanda Leona Williamson

• Clinical Social Worker in Bowling Green, KY
• Providers in Bowling Green, KY by specialty
• Clinical Social Worker in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.