Kristall Williams, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P012841 Issued in NC

Practice address

609 Attain St Ste 101
Fuquay Varina, NC 27526-1984

Phone

(919) 567-0684

NPI assigned

Sep 24, 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 identifiers 1

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": "1537747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537747200000",
    "number": "1831673078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2587 RAVENHILL DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283035451",
            "telephone_number": "910-323-1545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "609 ATTAIN ST STE 101",
            "city": "FUQUAY VARINA",
            "state": "NC",
            "postal_code": "275261984",
            "telephone_number": "919-567-0684"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KRISTALL",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-09-24",
        "last_updated": "2018-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P012841",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "P012841",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Melanie Elaine Wilkinson, MS, RDN, LDN
• Vivian Joy Willard, MED
• Christine V Williams, PA
• Eboni Williams
• Keyana Sharlene Williams, LPC
• Regina Williams, MA, LCMHC, NBCT
• Rhonda Ewing Williams, NP
• Jessica Williford
• Benjamin Shane Williman, RPH
• Windsor Point Inc.

• Clinical Social Worker in Fuquay Varina, NC
• Providers in Fuquay Varina, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 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.