Healthcare Provider Details

I. General information

NPI: 1154285245
Provider Name (Legal Business Name): KIERA J WILLIAMS MSW, LSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/12/2025
Last Update Date: 12/12/2025
Certification Date: 12/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

65 MECHANIC ST STE L-2
RED BANK NJ
07701-1852
US

IV. Provider business mailing address

1101 WEDGEWOOD CIR
BELFORD NJ
07718-2310
US

V. Phone/Fax

Practice location:
  • Phone: 540-873-6748
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number44SL07378400
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: