Kimberly Williams, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

104665 Issued in TX

Practice address

800 Rockmead Dr Ste 132
Kingwood, TX 77339-2197

Phone

(281) 572-8606

NPI assigned

May 6, 2016

Last updated

Sep 15, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 5

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Transitions Life Skills, LLC

  • Local Education Agency (LEA)
  • Lake Charles, LA
  • NPI 1073005377
  NPD (past)

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

{
    "created_epoch": "1462492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663200000000",
    "number": "1881040996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 132",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 ROCKMEAD DR STE 132",
            "city": "KINGWOOD",
            "state": "TX",
            "postal_code": "773392197",
            "telephone_number": "281-572-8606"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2017 Bancroft St",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "70607",
            "country_code": "US",
            "telephone_number": "337-292-0032",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1202 Kirkman St Ste C",
            "address_purpose": "LOCATION",
            "city": "Lake Charles",
            "state": "LA",
            "postal_code": "706015391",
            "country_code": "US",
            "telephone_number": "337-990-5305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KIMBERLY",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-06",
        "last_updated": "2022-09-15",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "14051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "14051",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "104665",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Austin Douglas Williams, MD
• Betty Williams
• Erin Williams
• Jordan Adelle Williams
• Jordan Lindsey Williams
• Sarah Delaine Williams, BD, PPD, CBC, CBE
• Tamera Nicole Williams
• Josephine D. Williamsen, RPH
• Thia Jade Williamson
• Amanda Willis, RN IBCLC

• Clinical Social Worker in Kingwood, TX
• Providers in Kingwood, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2022; 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.