Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Connie S Williams, LISW-SUPV

Individual provider Clinical Social Worker · NPI 1497737050

MS. Connie S Williams, LISW-SUPV is a Clinical Social Worker in Fairborn, Ohio. Qualified in 2003, 23 years ago. Practices with J Kilby Enterprises Inc, an 8-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
23
Licensed in
OH
In the registry since
2005
Specialties on file
2

Practice location Address checks out

302 W Main St
Fairborn, OH 45324-5037
Phone: (937) 281-4673
Fax: (937) 318-1120
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence I.0800334-SUPV (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence LSW S 0005246 (OH)

Record details

NPI number1497737050
Entity typeIndividual (Type 1)
GenderFemale
Credentials LISW-SUPV
Sole proprietorNo
NPI enumeratedNovember 18, 2005
Last updated in NPPESOctober 5, 2021
Certification dateOctober 5, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2003 (23 years in practice)
Group practice J Kilby Enterprises Inc — 8 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Fairborn