KIMBERLY M WILSON MSW,LCSW
NPI 1508341876
Social Worker - Clinical in Winston Salem, NC

Q: What is Kimberly Wilson's NPI number?

The NPI number for Kimberly Wilson is 1508341876. It was assigned to this individual provider in the NPPES registry on October 2, 2018.

Q: What is Kimberly Wilson's specialty?

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

Q: Is Kimberly Wilson enrolled in Medicare?

No. Kimberly Wilson has opted out of Medicare through December 30, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

Q: When was this NPI record last updated?

The NPPES record for Kimberly Wilson was last updated on October 2, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.

Active since October 02, 2018Opted out of Medicare · through Dec 30, 2027

MEDICAL CENTER BLVD, WINSTON SALEM, NC 27157(336) 716-2255 Get Directions Write a Review

NPPES record last updated: October 2, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kimberly M Wilson Msw,lcsw NPPES

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

KIMBERLY M WILSON MSW,LCSW (NPI 1508341876) is an individual clinical provider in Winston Salem, North Carolina, licensed in North Carolina (C008067) and active in the NPI registry since October 2018. She has opted out of Medicare through December 30, 2027.

NPPES Registry Identity

NPI1508341876

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameKIMBERLY M WILSONCredential: MSW,LCSW

Location AddressMEDICAL CENTER BLVDWinston Salem, NC 27157-0001

Mailing AddressMedical Center BlvdWinston Salem, NC 27157-0001 · (336) 716-2255

Phone(336) 716-2255

Sole ProprietorNo

Enumeration DateOctober 2, 2018

✔ NPI 1508341876 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 NC · C008067

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.

MEDICAL CENTER BLVD, Winston Salem, NC 27157

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

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Opted out of Medicare

Kimberly M Wilson Msw,lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from December 30, 2023 through December 30, 2027.

Opt-Out Effective DateDecember 30, 2023

Opt-Out In Effect ThroughDecember 30, 2027Opt-out affidavits renew automatically every two years unless cancelled

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.

CRAIG MICHAEL COMBS MD

Anesthesiology