Kim Wilson, MSW, LCSW, PLLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

KIM WILSON, MSW, LCSW, PLLC

Practice address

3447 Robinhood Rd
Winston Salem, NC 27106-4701

Phone

(419) 450-2033

NPI assigned

Feb 19, 2020

Organization subpart

No

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

Authorized official

Name

Kim Wilson, MSW, LCSW

Title

LCSW

Phone

(419) 450-2033

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Rhonda Lynn Davis, MDIV, MSW, LCSW

  • Clinical Social Worker
  • Winston Salem, NC
  • NPI 1326547449
  NPD (past)

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

{
    "created_epoch": "1582070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582070400000",
    "number": "1821621749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "655 N SPRING ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271011326",
            "telephone_number": "419-450-2033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3447 ROBINHOOD RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271064701",
            "telephone_number": "419-450-2033"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "127 S Poplar St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271013755",
            "country_code": "US",
            "telephone_number": "419-450-2033",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "KIM WILSON, MSW, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-19",
        "last_updated": "2020-02-19",
        "certification_date": "2020-02-19",
        "status": "A",
        "authorized_official_last_name": "WILSON",
        "authorized_official_first_name": "KIM",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "419-450-2033",
        "authorized_official_credential": "MSW, LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1508341876",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kimwilson@kimwilsonlcsw.com",
            "affiliation": "N",
            "endpointDescription": "work email",
            "address_1": "3447 Robinhood Rd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271064701",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Angelce Dimitrija Kikerkov, MD
• Larry Shelton Kilby, M.D.
• Emily Mikeal Kile, LPT, LAT, ATC
• Jane Paranae Kilolong
• Scott Ethan Kilpatrick, MD
• Angela Kim
• Eunkuk Kim, M.D.
• Ickhee Kim, MD
• Jane Kim, DNP, CRNA
• Seiha Thiounn Kim, D.O.

• Adult Mental Health Clinic/Center in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Adult Mental Health Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2020; 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.