Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

KYSON WILLIS
NPI 1073148169
Social Worker - Clinical in Gig Harbor, WA

Active since March 09, 2020
7191 WAGNER WAY STE 304, GIG HARBOR, WA 98335(253) 468-7899 Get Directions Write a Review

NPPES record last updated: August 19, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 19, 2026, Dec 9, 2021, Mar 9, 2020 (3 updates tracked since 2020).

About Kyson Willis NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KYSON WILLIS (NPI 1073148169) is an individual clinical provider in Gig Harbor, Washington, licensed in Washington (LW61628920) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1073148169
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKYSON WILLIS
Location Address7191 WAGNER WAY STE 304Gig Harbor, WA 98335-6909
Mailing Address7191 Wagner Way Ste 304Gig Harbor, WA 98335-6909 · (253) 468-7899
Sole ProprietorNo
Enumeration DateMarch 9, 2020
Last NPPES UpdateAugust 19, 20263 updates tracked since enumeration
NPPES CertifiedAugust 19, 2026
NPI 1073148169 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WA · LW61628920
Definition
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.
7191 WAGNER WAY STE 304, Gig Harbor, WA 98335

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Mental Health)
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Social Worker (Clinical)
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Student in an Organized Health Care Education/Training Program
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Social Worker (Clinical)
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Counselor
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Marriage & Family Therapist
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Social Worker (Clinical)
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335
Social Worker (Clinical)
7191 WAGNER WAY STE 304
GIG HARBOR, WA 98335

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kyson Willis's NPI number?

The NPI number for Kyson Willis is 1073148169. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Kyson Willis located?

Kyson Willis practices at 7191 Wagner Way Ste 304, Gig Harbor, WA 98335. The listed phone number is (253) 468-7899.

What is Kyson Willis's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Kyson Willis was last updated on August 19, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.