KALEENA WILLIAMS – Clinical Social Worker, NPI 1679919542

KALEENA WILLIAMS is a healthcare provider. based in Galesburg, Illinois. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 149015718 (IL). The NPI Number for KALEENA WILLIAMS is 1679919542

Main info

Female
16 Years Of Experience
Accepts Medicare Assignment
Name
KALEENA WILLIAMS
NPI
1679919542
Phone
(309) 344-2323
Address
2323 WINDISH DR
Enumeration Date
17 May 2013
Last Update Date
18 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3093435114
Graduation Year
2010 (16 years ago)
PAC ID
9133366735
Group Practice PAC ID
8628038015
Professional Enrollment ID
I20130517000345
Address ID
IL614011251GA3375XSTXX402
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:13State licenses:1Digital endpointsOther names

3,510 CLINICAL SOCIAL WORKER in IL

Provider Addresses for KALEENA WILLIAMS

  • 2323 WINDISH DR

    GALESBURG, IL 614019780

    Phone: (309) 344-2323

    Type: Location

  • 834 NORTH SEMINARY STREET

    SUITE 405

    GALESBURG, IL 61401

    Phone: (309) 344-9444

    Fax: (309) 717-0124

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2013-05-17

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20130517000345IClinical Social WorkerILTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 61401)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 8628038015View full group profile
NameSpecialtyState
Nurse PractitionerIA
Nurse PractitionerIL
-IL
-IL
Family PracticeIL
Nurse PractitionerIL
O B S T E T R I C S/ G Y N E C O L O G YIL
Certified Nurse Midwife (Cnm)IL
Clinical Social WorkerIL
Nurse PractitionerIL

Reviews

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Frequently asked questions

Where can patients find KALEENA WILLIAMS's NPI?
You can confirm KALEENA WILLIAMS with NPI 1679919542; it appears in the national provider directory.
Is KALEENA WILLIAMS's NPI currently valid?
The extract we use shows KALEENA WILLIAMS as active.
Can you summarize KALEENA WILLIAMS's specialty in plain language?
Clinically, the directory lists KALEENA WILLIAMS with Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where is KALEENA WILLIAMS's primary listing?
We display Galesburg, Illinois because that is what the record indicates for KALEENA WILLIAMS.
What if Galesburg, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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