IndividualActive
Kimberly Wilson, LICSW
NPI 1083036701 · Clinical Social Worker · Hyattsville, MD
Provider details
- NPI number
- 1083036701
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LICSW
- Sex
- Female
- Sole proprietor
- No
- License
- LC50079505 (DC)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(76/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6210 Belcrest Rd Apt 1228
Hyattsville, MD 20782-2967
Phone: (718) 877-0633
Street-level locationGet directions
Mailing address
6210 Belcrest Rd Apt 1228
Hyattsville, MD 20782-2967
Registry dates
- Enumerated
- 2014-01-15
- Last updated
- 2025-08-29
- Certified
- 2025-08-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.