KIMBERLY VAUGHAN WILLETT (NPI# 1366904385) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366904385 |
| Entity Type | Individual |
| Full Name | KIMBERLY VAUGHAN WILLETT |
| Credential | LCSW, MSW, BA |
| Practice Address |
1 Columbus Ctr Ste 600 Virginia Beach VA 23462-6760 |
| Mailing Address |
908 La Tierra Ct Virginia Beach VA 23456-6432 |
| Practice Telephone | 7578282159 |
| Mailing Telephone | 7574275007 |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2020-06-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904011868 | VA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Columbus Ctr Ste 600, Virginia Beach, VA 234626760 | 7578282159 | |
| 2528 Las Brisas Dr, Virginia Beach, VA 234564264 | 7576890334 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023405644 | Kimberly Willett | Specialist | 77 Warwick Rd, Pawtucket, RI 02861-2623 | 2015-04-21 |
| 1467074344 | Kimberly Willett | Nurse Practitioner | 85 Lafayette St, New Britain, CT 06051-1803 | 2020-05-13 |
| Street Address |
1 COLUMBUS CTR STE 600 |
| City | VIRGINIA BEACH |
| State | VA |
| Zip Code | 23462-6760 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639697667 | Mary Dye Nutrition, LLC | Dietitian, Registered | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2017-08-30 |
| 1992323562 | Mana Psychiatry and Wellness, LLC | Psychiatry & Neurology | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2020-07-10 |
| 1144847948 | Virginia Beach Clinical Counseling LLC | Clinic/Center | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2020-06-29 |
| 1144868431 | Birchwood Wellness Pllc | Social Worker | 1 Columbus Ctr Ste 600, Virginia Beach, VA 23462-6760 | 2019-12-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912534082 | Cheyenne James | Counselor | 297 Independence Blvd., Virginia Beach, VA 23462 | 2020-03-26 |
| 1245871011 | Marathon Transportation Services LLC | Non-emergency Medical Transport (VAN) | 4505 Main Street, Apt 259, Virginia Beach, VA 23462 | 2019-10-03 |
| 1003475153 | Keyuri S Shah | Physical Therapist | 5701 Cleveland St, Ste 600, Virginia Beach, VA 23462 | 2019-06-12 |
| 1629561329 | Mary Katherine Pratt | Physician Assistant | 828 Healthy Way Ste 350, Virginia Beach, VA 23462 | 2018-06-07 |
| 1801387808 | Matrixx Healthcare LLC | Respite Care | 405 S Parliament Dr Ste 106, Virginia Beach, VA 23462 | 2018-05-24 |
| 1518471671 | Newtown Chiropractic Center Pllc | Clinic/Center | 5777 Princess Ann Road, Virginia Beach, VA 23462 | 2017-11-28 |
| 1528587995 | Gary Lee Alexander II | Counselor | 870 N Newtown Road, Virginia Beach, VA 23462 | 2017-09-16 |
| 1801328810 | Servitium Med Va, LLC | Durable Medical Equipment & Medical Supplies | 4445 Corporation Lane Suite 291, Virginia Beach, VA 23462 | 2017-03-29 |
| 1215476171 | Johnnie Walter Cox IIi | Emergency Medical Technician, Basic | 5163 Cleveland Street, Virginia Beach, VA 23462 | 2017-02-13 |
| 1225570179 | Holly Balsamo | Occupational Therapy Assistant | 5345 Marian Lane, Virginia Beach, VA 23462 | 2016-11-09 |
| Find all providers in zip 23462 | ||||
| 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 |
|---|---|---|---|---|
| 1801497037 | Miriam Matthews | Social Worker | 503 Arbre Ct, Virginia Beach, VA 23451-6001 | 2020-11-04 |
| 1336760495 | Rdh Counseling and Consulting, LLC | Social Worker | 5301 Providence Rd Ste 40, Virginia Beach, VA 23464-4128 | 2020-04-29 |
| 1326674045 | Jennifer Diano Hart | Social Worker | 1765 Gravenhurst Dr, Virginia Beach, VA 23464-8651 | 2020-03-13 |
| 1225677321 | Jill H Motcheck | Social Worker | 2020 Adobe Ct, Virginia Beach, VA 23456-4924 | 2020-01-06 |
| 1386283646 | Shadiyah N. Rozier | Social Worker | 1704 Halesworth Ln, Virginia Beach, VA 23456-4885 | 2020-01-03 |
| 1093350316 | Emmy Louise Ray | Social Worker | 3712 Prince Andrew Ln, Virginia Beach, VA 23452-3911 | 2019-11-11 |
| 1033760145 | Shaena Wiggins | Social Worker | 208 Olivine Ave Apt 104, Virginia Beach, VA 23462-4489 | 2019-09-20 |
| 1003475575 | Erin Mcmenamin | Social Worker | 1909 Split Rail Dr, Virginia Beach, VA 23453-6614 | 2019-06-10 |
| 1851853410 | Paige Kinnison | Social Worker | 258 N Witchduck Rd, Virginia Beach, VA 23462-6556 | 2019-04-03 |
| 1972077972 | Embrace Therapeutic Solutions LLC | Social Worker | 5250 Challedon Dr, Virginia Beach, VA 23462-6304 | 2019-01-14 |
| Find all providers in VIRGINIA BEACH | ||||
| City | VIRGINIA BEACH |
| Zip Code | 23462 |
Please comment or provide details below to improve the information on KIMBERLY VAUGHAN WILLETT.
| 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.