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KIRA BASKERVILLE-WILLIAMS LCSW
NPI 1336699529
Social Worker - Clinical in Maplewood, NJ

Active since October 11, 2016PECOS EnrolledAccepts Medicare Assignment
2130 MILLBURN AVE, STE D-2, MAPLEWOOD, NJ 07040(973) 801-1801(908) 964-0809 Get Directions Write a Review

NPPES record last updated: October 23, 2017. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Oct 23, 2017, Oct 11, 2016 (2 updates tracked since 2016).

About Kira Baskerville-williams Lcsw NPPES

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

KIRA BASKERVILLE-WILLIAMS LCSW (NPI 1336699529) is an individual clinical provider in Maplewood, New Jersey, licensed in New Jersey (44SC05189700) and active in the NPI registry since October 2016. She is enrolled in Medicare PECOS and is a graduate of Other (1996).

NPPES Registry Identity

NPI1336699529
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIRA BASKERVILLE-WILLIAMSCredential: LCSW
Location Address2130 MILLBURN AVE, STE D-2Maplewood, NJ 07040-3725
Mailing Address2130 Millburn Ave, Ste D-2Maplewood, NJ 07040-3725 · (973) 801-1801 · Fax (908) 964-0809
Phone(973) 801-1801
Fax(908) 964-0809
Sole ProprietorYes
Medical School CMSOtherGraduated 1996
Enumeration DateOctober 11, 2016
Last NPPES UpdateOctober 23, 20172 updates tracked since enumeration
✔ NPI 1336699529 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 NJ · 44SC05189700
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.
2130 MILLBURN AVE, Maplewood, NJ 07040
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kira Baskerville-williams Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID6204118292
PECOS Enrollment IDI20170127000657
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Kira Baskerville-williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Evolution Mind, LLC
Same address
Mental Health (Including Community Mental Health Center)
2130 MILLBURN AVE STE D2
Maplewood, NJ 07040
  • Reassigned Medicare billing, New Jersey enrollment
NPI 1912428905 (973) 801-1801

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 07040 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $63.84 – $190.92
Typical copayment $0.00 (range $15.96 – $47.73)
Most-billed visit code NA
Established Patient
$79.09 typical visit price
range $20.97 – $155.92
Typical copayment $19.77 (range $5.24 – $38.98)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

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

MR. MOSES MYERS JR. MS, LCADC,SAP
Counselor (Addiction (Substance Use Disorder))
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (908) 875-5123
AUNJULI A. HICKS LPC LIMITED LIABILITY COMPANY
Counselor (Mental Health)
2130 MILLBURN AVE, STE C8
MAPLEWOOD, NJ 07040
Essex County (908) 364-7611
MS. NATASHA NICKOLE MANNING PH.D., LPC
Counselor (Professional)
2130 MILLBURN AVE, SUITE D1
MAPLEWOOD, NJ 07040
Essex County (973) 536-7486
CLARA ALLISON
Massage Therapist
2130 MILLBURN AVE, SUITE C8 FLR C
MAPLEWOOD, NJ 07040
Essex County (973) 259-6966
DR. SEGUN V SIMON MD
Internal Medicine (Nephrology)
2130 MILLBURN AVE, SUITE C-3
MAPLEWOOD, NJ 07040
Essex County (973) 996-2727
JEFFREY TUCKER LCSW
Social Worker (Clinical)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (646) 382-7410
DR. WILLIAM EDGAR CARR LCSW
Social Worker (Clinical)
2130 MILLBURN AVE, D1
MAPLEWOOD, NJ 07040
Essex County (973) 592-1512
DR. SYLVIA S LEE M D
Allergy & Immunology (Allergy)
2130 MILLBURN AVE
MAPLEWOOD, NJ 07040
Essex County (973) 763-5787

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 Kira Baskerville-williams's NPI number?

The NPI number for Kira Baskerville-williams is 1336699529. It was assigned to this individual provider in the NPPES registry on October 11, 2016.

Where is Kira Baskerville-williams located?

Kira Baskerville-williams practices at 2130 Millburn Ave Ste D-2, Maplewood, NJ 07040. The listed phone number is (973) 801-1801.

What is Kira Baskerville-williams's specialty?

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

Is Kira Baskerville-williams enrolled in Medicare?

Yes. Kira Baskerville-williams is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Kira Baskerville-williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kira Baskerville-williams reassigns Medicare benefits to Evolution Mind, LLC (Maplewood, NJ). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kira Baskerville-williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Kira Baskerville-williams was last updated on October 23, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years 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.