KORTNIE WILLIAMS – Clinical Social Worker, NPI 1073387361

KORTNIE WILLIAMS is a healthcare provider. based in University place, Washington. specializing in CLINICAL SOCIAL WORKER. They hold a License No. LW61456089 (WA). The NPI Number for KORTNIE WILLIAMS is 1073387361

Main info

Female
Sole Proprietor
6 Years Of Experience
Accepts Medicare Assignment
Name
KORTNIE WILLIAMS
NPI
1073387361
Phone
(718) 678-0383
Address
7313 35TH STREET CT W APT 5
Enumeration Date
8 November 2023
Last Update Date
8 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7037927800
Graduation Year
2020 (6 years ago)
PAC ID
0143747832
Group Practice PAC ID
7113912973
Professional Enrollment ID
I20250506002822
Address ID
VA201092885MA7969XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience28
Completeness75
Years active:2State licenses:1Digital endpointsOther names

1,397 CLINICAL SOCIAL WORKER in WA

Provider Addresses for KORTNIE WILLIAMS

  • 7313 35TH STREET CT W APT 5

    UNIVERSITY PLACE, WA 984664436

    Phone: (718) 678-0383

    Mailing address matches the actual address.

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: 2025-05-06

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
I20250506002822IClinical Social WorkerVATBD

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 98466)

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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: 7113912973View full group profile
NameSpecialtyState
Mental Health CounselorVA
-VA
Clinical Social WorkerVA
-VA
Clinical Social WorkerVA
P S Y C H I A T R YVA
Mental Health CounselorVA
Mental Health CounselorVA
Clinical Social WorkerVA
Mental Health CounselorVA

Reviews

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Frequently asked questions

What unique ID ties claims to KORTNIE WILLIAMS?
NPI 1073387361 is assigned to KORTNIE WILLIAMS under the national enumeration system.
Does this profile mean KORTNIE WILLIAMS is currently active?
Yes — KORTNIE WILLIAMS appears active in the national provider directory.
Does KORTNIE WILLIAMS list a primary specialty?
If you are matching referrals, note Clinical Social Worker for KORTNIE WILLIAMS. Clinical services aligned with this taxonomy classification.
Where does public data place KORTNIE WILLIAMS?
The snapshot lists University Place, Washington for KORTNIE WILLIAMS; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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