KIMBERLY VAUGHAN WILLETT LCSW, MSW, BA
NPI 1366904385
Social Worker - Clinical in Virginia Beach, VA
About Kimberly Vaughan Willett Lcsw, Msw, Ba NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KIMBERLY VAUGHAN WILLETT LCSW, MSW, BA (NPI 1366904385) is an individual clinical provider in Virginia Beach, Virginia, licensed in Virginia (0904011868) and active in the NPI registry since April 2019. She is enrolled in Medicare PECOS, maintains a secondary practice location in Virginia Beach, and is a graduate of Virginia Commonwealth University, School Of Medicine (1994).
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Location 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare and accepts Medicare assignment
Kimberly Vaughan Willett Lcsw, Msw, Ba 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.
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23452 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 10
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
VIRGINIA BEACH, VA 23452
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 Kimberly Willett's NPI number?
The NPI number for Kimberly Willett is 1366904385. It was assigned to this individual provider in the NPPES registry on April 1, 2019.
Where is Kimberly Willett located?
Kimberly Willett practices at 4224 Holland Rd Ste 106, Virginia Beach, VA 23452. The listed phone number is (757) 320-5819.
What is Kimberly Willett's specialty?
The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.
Is Kimberly Willett enrolled in Medicare?
Yes. Kimberly Willett 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.
When was this NPI record last updated?
The NPPES record for Kimberly Willett was last updated on October 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.
# Kimberly Vaughan Willett, LCSW, MSW, BA · NPI 1366904385
Clinical provider in Virginia Beach, Virginia. Individual provider, active in the CMS NPPES registry since April 1, 2019.
## Identity
- **NPI:** 1366904385 (Entity type: Individual)
- **Enumerated:** April 1, 2019
- **Primary specialty:** Social Worker - Clinical · taxonomy 1041C0700X
- **State license:** 0904011868 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 4224 HOLLAND RD STE 106, Virginia Beach, VA 23452-1900
- **Phone:** (757) 320-5819
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment
- **Medical school:** Virginia Commonwealth University, School Of Medicine, class of 1994
## Record status
- **NPPES last updated:** October 20, 2023
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Source: [NPI Profile](https://npiprofile.com/npi/1366904385) · Data from the CMS NPPES public registry.