Individual provider · Type 1 NPI

Kimberly Nichelle Willis

Community Health Worker · Lynwood, CA

NPI number 1992201115 Active

Practice location

2640 Industry Way
Lynwood, CA 90262-4284

Call (310) 627-4525 Map

Other practice locations

  • 1501 Hughes Way Ste 150, Long Beach, CA 90810-1878 · (310) 221-6336

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner 225400000XNone listed
Case Manager/Care Coordinator 171M00000XNone listed
Day Training/Habilitation Specialist 373H00000XNone listed
Community Health Worker Primary 172V00000XNone listed

Community Health Worker: Community health workers (CHW) are lay members of communities who work either for pay or as volunteers in association with the local health care system in both urban and rural environments and usually share ethnicity, language, socioeconomic status and life experiences with the community members they serve. They have been identified by many titles such as community health advisors, lay health advocates, "promotores(…

142 other providers at this address

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About NPI 1992201115

Kimberly Nichelle Willis's National Provider Identifier is 1992201115, issued on Apr 5, 2018. The primary taxonomy on file is Community Health Worker (172V00000X), and the practice location is in Lynwood, CA. The record was last updated on May 21, 2025.