Kimberly Elyse Wighton, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

102352-1 Issued in NY

Practice address

345 Carnation Dr
Farmingdale, NY 11735-7012

Phone

(516) 304-4105

NPI assigned

Dec 9, 2017

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1512777600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1780199950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 CARNATION DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357012",
            "telephone_number": "516-304-4105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 CARNATION DR",
            "city": "FARMINGDALE",
            "state": "NY",
            "postal_code": "117357012",
            "telephone_number": "516-304-4105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WIGHTON",
        "first_name": "KIMBERLY",
        "middle_name": "ELYSE",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-09",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102352-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Well Care Pharmacy of Longisland Corp.
• Erika Wells
• Jewana White, LMT
• Thomas Wichern
• Christopher Wider, DC
• Alexandra Wild, MS, BCBA
• Brian Terrell Williams
• Hannah Williams
• Sabrina Williams
• Susan Irene Williams, DPT

• Social Worker in Farmingdale, NY
• Providers in Farmingdale, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.