Provider Demographics
NPI:1255450516
Name:WILLIAMS, KIMBERLY DENISE (LCSW)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:DENISE
Last Name:WILLIAMS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 191034
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72219-1034
Mailing Address - Country:US
Mailing Address - Phone:501-725-5094
Mailing Address - Fax:844-757-2834
Practice Address - Street 1:59 WINGATE DR
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72205-2537
Practice Address - Country:US
Practice Address - Phone:501-725-5094
Practice Address - Fax:844-757-2834
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-28
Last Update Date:2021-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AR2271-C104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker