1. Home
  2. Directory
  3. Georgia
  4. Decatur
  5. Social Worker
  6. NPI Profile

KIMBERLY MOSS WILSON LCSW, CAADC
NPI 1700246709
Social Worker - Clinical in Decatur, GA

Active since March 03, 2016
1116 E PONCE DE LEON AVE, DECATUR, GA 30030(404) 377-7669(404) 377-8536 Get Directions Write a Review

NPPES record last updated: June 24, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 24, 2016, Mar 3, 2016 (2 updates tracked since 2016).

About Kimberly Moss Wilson Lcsw, Caadc NPPES

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

KIMBERLY MOSS WILSON LCSW, CAADC (NPI 1700246709) is an individual clinical provider in Decatur, Georgia, licensed in Georgia (CSW005573) and active in the NPI registry since March 2016.

NPPES Registry Identity

NPI1700246709
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKIMBERLY MOSS WILSONCredential: LCSW, CAADC
Location Address1116 E PONCE DE LEON AVEDecatur, GA 30030-2711
Mailing Address3921 Kensington DrMarietta, GA 30066-2535 · (404) 936-1431
Phone(404) 377-7669
Fax(404) 377-8536
Sole ProprietorYes
Enumeration DateMarch 3, 2016
Last NPPES UpdateJune 24, 20162 updates tracked since enumeration
✔ NPI 1700246709 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in GA · CSW005573
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.
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0159 (GA)
1116 E PONCE DE LEON AVE, Decatur, GA 30030
Open in Google Maps ↗

Other Names 1

Former Name (1)Kimberly Diane Moss Lmsw

Other Providers at the Same Location NPPES 4

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

ALLIANCE RECOVERY CENTER, INC.
Clinic/Center (Methadone)
1116 E PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 377-7669
CARLTON KNIGHT
Counselor
1116 E PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 377-7669
CANDOR THERAPY CARE
Marriage & Family Therapist
1116 E PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 590-6045
KENDALL DAVIS LMFT
Marriage & Family Therapist
1116 E PONCE DE LEON AVE
DECATUR, GA 30030
Dekalb County (404) 805-8230

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 Wilson's NPI number?

The NPI number for Kimberly Wilson is 1700246709. It was assigned to this individual provider in the NPPES registry on March 3, 2016. The provider is also known as Kimberly Diane Moss Lmsw.

Where is Kimberly Wilson located?

Kimberly Wilson practices at 1116 E Ponce De Leon Ave, Decatur, GA 30030. The listed phone number is (404) 377-7669.

What is Kimberly Wilson'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 Kimberly Wilson was last updated on June 24, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.