Kim Denise Williams-jenkins, LCSWR,CASAC,CRC,MSED is a medicare enrolled "Social Worker - Clinical" provider in Staten Island, New York. Her current practice location is
15 1st St Fl 2, Staten Island, New York. You can reach out to her office (for appointments etc.) via phone at
(917) 613-4009.
Kim Denise Williams-jenkins is licensed to practice in New York (license number 077058-R) and she also participates in the medicare program. She does not accept medicare assignments directly but she may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. Her NPI Number is 1184891897.
Healthcare Provider's Profile
| Full Name | Kim Denise Williams-jenkins |
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| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 15 1st St Fl 2, Staten Island, New York |
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| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
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NPI Data:
- NPI Number: 1184891897
- Provider Enumeration Date: 05/12/2008
- Last Update Date: 01/05/2016
Medicare PECOS Information:
- PECOS PAC ID: 0446394332
- Enrollment ID: I20100216000286
Medical Identifiers
Medical identifiers for Kim Denise Williams-jenkins such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
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| 1184891897 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
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| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 12039 (New York) | Secondary |
| 1041C0700X | Social Worker - Clinical | 077058-R (New York) | Primary |
Medicare Reassignments
Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kim Denise Williams-jenkins allows following entities to bill medicare on her behalf.
| Entity Name | Culturally Competent Compassionate Counseling Lcsw Pllc |
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| Entity Type | Part B Supplier - Clinic/group Practice |
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| Entity Identifiers | NPI Number: 1669805602
PECOS PAC ID: 6709017882
Enrollment ID: O20140403000538 |
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Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kim Denise Williams-jenkins is
enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
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Kim Denise Williams-jenkins, LCSWR,CASAC,CRC,MSED
15 1st St Fl 2,
Staten Island, NY 10306-2201
Ph: (917) 613-4009 | Kim Denise Williams-jenkins, LCSWR,CASAC,CRC,MSED
15 1st St Fl 2,
Staten Island, NY 10306-2201
Ph: (917) 613-4009 |
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