Healthcare Provider Details

I. General information

NPI: 1942767520
Provider Name (Legal Business Name): KRISTEN H WILLIAMS LSW, MSW, LICDC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: KRISTEN H WILLIAMS LSW

II. Dates (important events)

Enumeration Date: 03/01/2019
Last Update Date: 10/06/2025
Certification Date: 10/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1951 STATE ROUTE 59 STE A
KENT OH
44240-8128
US

IV. Provider business mailing address

4600 MONTGOMERY RD STE 400
CINCINNATI OH
45212-2600
US

V. Phone/Fax

Practice location:
  • Phone: 833-510-4357
  • Fax: 866-460-2997
Mailing address:
  • Phone: 833-510-4357
  • Fax: 866-460-2997

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberLICDC.162490
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberS.2004929
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: