Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Kim Denise Williams-Jenkins, LCSWR, CASAC, CRC, MSED

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1184891897

Kim Denise Williams-Jenkins, LCSWR, CASAC, CRC, MSED is a Clinical Social Worker in Staten Island, New York. Graduated from New York University Medical College - Nlg in 2005, 21 years ago. Accepts Medicare assignment. Licensed in New York.

Years since qualifying
21
Trained at
New York University Medical College - Nlg
Licensed in
NY
In the registry since
2008
Specialties on file
2
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Practice location Address checks out

15 1st St Fl 2
Staten Island, NY 10306-2201
Phone: (917) 613-4009
Fax: (718) 448-3571
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 077058-R (NY)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 12039 (NY)

Record details

NPI number1184891897
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSWR , CASAC , CRC , MSED
Sole proprietorNo
NPI enumeratedMay 12, 2008
Last updated in NPPESJanuary 5, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolNEW YORK UNIVERSITY MEDICAL COLLEGE - NLG
Graduated 2005 (21 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Staten Island