Individual provider Active NPI

Jennifer Marie Williams, LCSW

  • Clinical Social Worker
  • Kirksey, KY
National Provider Identifier
1932643715
Registry record updated Sep 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
255612 Issued in KY
Practice address
1963 Hedley TRL
Kirksey, KY 42054-9112
Phone
(270) 703-5504
NPI assigned
Dec 13, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 255612 KY Primary
Clinical Social Worker 1041C0700X SW26956 FL

Addresses

Primary practice location

1963 Hedley TRL
Kirksey, KY 42054-9112

Mailing address

1963 Hedley TRL
Kirksey, KY 42054-9112

Other identifiers 1

IdentifierTypeStateIssuer
7100734050MedicaidKY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
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 1

Enrollment IDStateProvider typePAC IDDetails
I20210423000972 KY Practitioner - Clinical Social Worker 9931517307 Reassigns benefits to 3 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Arcare CurrentSince Feb 28, 2022 Accepting new patients
Arcare Current Accepting new patients
Arcare CurrentSince Feb 28, 2022 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Apr 21, 2021 Accepting new patients
Mountain Comprehensive Care Center, Inc. CurrentSince Apr 21, 2021 Accepting new patients

Locations

312 S 8th St
Murray, KY 42071
Phone (270) 753-2395

125 S 20th St
Paducah, KY 42001
Phone (270) 415-0467

838 S Mayo Trl
Paintsville, KY 41240
Phone (606) 788-1345

104 S Front Ave
Prestonsburg, KY 41653
Phone (606) 688-6857

Interoperability endpoints

  • Direct secure messaging: jennifer.williams@arcare.directbygreenway.com

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1481587200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790035200000",
    "number": "1932643715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1963 HEDLEY TRL",
            "city": "KIRKSEY",
            "state": "KY",
            "postal_code": "420549112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1963 HEDLEY TRL",
            "city": "KIRKSEY",
            "state": "KY",
            "postal_code": "420549112",
            "telephone_number": "270-703-5504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "JENNIFER",
        "middle_name": "MARIE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-12-13",
        "last_updated": "2026-09-22",
        "certification_date": "2026-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "255612",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW26956",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100734050",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kirksey, KY

Sources for this page

Verify at the official NPI Registry.