Provider Demographics
NPI:1568266070
Name:WILHELM, KIMBERLY PHILLIPS (LICSW-S)
Entity type:Individual
Prefix:MRS
First Name:KIMBERLY
Middle Name:PHILLIPS
Last Name:WILHELM
Suffix:
Gender:
Credentials:LICSW-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 WILHELM DR
Mailing Address - Street 2:
Mailing Address - City:SCOTTSBORO
Mailing Address - State:AL
Mailing Address - Zip Code:35768-7536
Mailing Address - Country:US
Mailing Address - Phone:256-599-1116
Mailing Address - Fax:
Practice Address - Street 1:170 WILHELM DR
Practice Address - Street 2:
Practice Address - City:SCOTTSBORO
Practice Address - State:AL
Practice Address - Zip Code:35768-7536
Practice Address - Country:US
Practice Address - Phone:256-599-1116
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-03
Last Update Date:2025-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL1025-2422C1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical