KIMBERLY YVETTE WILLIS (NPI# 1568898393) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568898393 |
| Entity Type | Individual |
| Full Name | KIMBERLY YVETTE WILLIS |
| Credential | LCSW, LMSW |
| Practice Address |
9401 Southwest Fwy Houston TX 77074-1407 |
| Mailing Address |
5950 Donwhite Ln Houston TX 77088-4101 |
| Practice Telephone | 7139707000 |
| Practice Fax Number | 7139707246 |
| Mailing Telephone | (713) 301-9358 |
| Enumeration Date | 2013-09-25 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 57087 | TX | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
57087 | TX | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 5950 Donwhite Ln, Houston, TX 770884101 | 7133019358 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649756826 | Kimberly Willis | Technician | 714 Jefferson Street, Bancroft, WV 25011 | 2018-07-11 |
| 1992201115 | Kimberly Nichelle Willis | Rehabilitation Practitioner | 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 | 2018-04-05 |
| 1629581251 | Kimberly A Willis | Counselor | 101 Dehler Dr, Sartell, MN 56377-4407 | 2017-11-06 |
| 1104279785 | Kimberly Renee Willis | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2016-07-19 |
| 1275925794 | Kimberly Willis | Nurse Practitioner | 700 W Market St, Athens, AL 35611-2457 | 2015-02-19 |
| 1255692729 | Kimberly Willis | Home Health Aide | 2004 Rhode Island Ave Ne, Suite 400, Washington, DC 20018 | 2012-05-31 |
| 1275869125 | Kimberly Deborah Willis | Adult Companion | 3111 Electric Ave, Port Huron, MI 48060-8127 | 2009-10-28 |
| 1164601514 | Kimberly Y Willis | Nurse Practitioner | 51 Performance Dr, Weymouth, MA 02189-3104 | 2007-11-01 |
| 1992990923 | Kimberly Renee Willis | Physical Therapist | 711 Avignon Dr, Ridgeland, MS 39157-5120 | 2007-09-12 |
| 1487852562 | Kimberly Rachelle Willis | Family Medicine | 2609 Medical Office Pl, Goldsboro, NC 27534-9428 | 2007-07-10 |
| Street Address |
9401 SOUTHWEST FWY |
| City | HOUSTON |
| State | TX |
| Zip Code | 77074-1407 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346293156 | The Harris Center for Mental Health and Idd | Community/Behavioral Health | 9401 Southwest Fwy, Houston, TX 77074 | 2006-05-19 |
| 1558977405 | Christine R Kobes | Social Worker | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2020-09-16 |
| 1326658956 | Lasheena Brown | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2020-08-07 |
| 1871128538 | Nkechinyere Violet Anyaso | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2020-03-03 |
| 1770117376 | Lontrael Antoine | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2020-02-24 |
| 1215574207 | Lakendria M Ellis | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-12-09 |
| 1679116164 | Racheal Samantha Anderson | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-10-28 |
| 1316589658 | Mercedes J Moore | Marriage & Family Therapist | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-10-08 |
| 1972154763 | Bianca L Bonds | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-09-24 |
| 1912556168 | Shane Wade | Counselor | 9401 Southwest Fwy, Houston, TX 77074-1407 | 2019-09-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285257527 | The Talk Center | Counselor | 502 Fondren Rd, Houston, TX 77074 | 2020-05-21 |
| 1598301715 | Concierge Counseling and Wellness, LLC | Counselor | 7332 Sw Freeway, #2010, Houston, TX 77074 | 2019-11-22 |
| 1588146922 | Adebisi Lawrence | Registered Nurse | 8300 Bissonnet Suite 375, Houston, TX 77074 | 2018-09-01 |
| 1093291718 | Jessica Mosley Demby | Counselor | The Harris Center for Mental Health and Idd, 9401 Southwest Freeway, Houston, TX 77074 | 2018-07-16 |
| 1114430329 | Ogbuka Joseph Onwuchekwa | Driver | 9100 Southwest Freeway #219, Houston, TX 77074 | 2017-11-09 |
| 1164934501 | Tiffany Danielle Miller | Home Health Aide | 7810 Nairn, Houston, TX 77074 | 2017-10-25 |
| 1295252625 | Domain Living Centers LLC | Case Manager/Care Coordinator | 9800 Braburn Glen Blvd # 326, Houston, TX 77074 | 2017-08-25 |
| 1760908297 | First Choice Home Dialysis LLC | Clinic/Center | 7737 Beechnut Street, Suite 204, Houston, TX 77074 | 2017-08-16 |
| 1144741869 | Emerald Total Care | In Home Supportive Care | 10101 Southwest Freeway Suit 400, Houston, TX 77074 | 2017-07-03 |
| 1851820294 | Sinai Hospice Care LLC | Hospice Care, Community Based | 8323 Sw Freeway, Suite #630, Houston, TX 77074 | 2017-06-08 |
| Find all providers in zip 77074 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285234716 | Leah Mcnulty | Social Worker | 13722 Office Park Dr Ste B, Houston, TX 77070-2891 | 2020-10-26 |
| 1700485307 | Chasity Danielle Rasco | Social Worker | 14695 Briar Forest Dr Apt 6202, Houston, TX 77077-2713 | 2020-10-23 |
| 1508465592 | Trinity Community Healthcare LLC | Social Worker | 14501 Empanada Dr Apt 2404, Houston, TX 77083-3394 | 2020-10-20 |
| 1194323691 | Kandra Renay Essien | Social Worker | 1475 Texas St Unit 705, Houston, TX 77002-3692 | 2020-10-15 |
| 1023616703 | Tamyra Nikita Ware Lawson | Social Worker | 801 Town and Country Blvd, Houston, TX 77024-4164 | 2020-10-14 |
| 1649886128 | Natasha Crosby | Social Worker | 5330 Summit Hollow Dr, Houston, TX 77084-6890 | 2020-09-19 |
| 1841802246 | Melinda Ortega | Social Worker | 6617 Avenue T, Houston, TX 77011-1229 | 2020-08-18 |
| 1104436997 | Eldercare Therapy and Wellness LLC | Social Worker | 5530 Rutherglenn Dr, Houston, TX 77096-4034 | 2020-08-05 |
| 1700496015 | Laura Elizabeth Wiginton | Social Worker | 1501 Crocker St Apt 1, Houston, TX 77019-4371 | 2020-08-03 |
| 1235747882 | Elizabeth Lowrey | Social Worker | 1212 Fairview Ave Apt I, Houston, TX 77006-1261 | 2020-07-20 |
| Find all providers in HOUSTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.