Kimberly Willard, is a
Social Worker - Clinical based in Santa Fe Springs, California. Kimberly Willard is licensed to practice in California (license number 102501) and her current practice location is
11015 Bloomfield Ave, Santa Fe Springs, California. She can be reached at her office (for appointments etc.) via phone at
(562) 906-2676.
NPI number for Kimberly Willard is 1700239555 and her current mailing address is 11015 Bloomfield Ave, Santa Fe Springs, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1700239555.
Healthcare Provider's Profile
Full Name | Kimberly Willard |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 11015 Bloomfield Ave, Santa Fe Springs, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1700239555
- Provider Enumeration Date: 07/18/2016
- Last Update Date: 09/05/2024
Medical Identifiers
Medical identifiers for Kimberly Willard such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1700239555 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | 102501 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kimberly Willard is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Kimberly Willard, 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 Ph: (562) 906-2676 | Kimberly Willard, 11015 Bloomfield Ave, Santa Fe Springs, CA 90670-4601 Ph: (562) 906-2676 |
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