Active NPI
Keisha Williams, LCSW
- Clinical Social Worker
- Cape Coral, FL
National Provider Identifier
1003610965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW24209
- Practice address
- 626 NW 16TH Ter
Cape Coral, FL 33993-5130 - Phone
- (239) 333-6299
- NPI assigned
- Apr 1, 2025
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | SW24209 | FL | Primary |
Addresses
Primary practice location
626 NW 16TH Ter
Cape Coral, FL 33993-5130
Mailing address
626 NW 16TH Ter
Cape Coral, FL 33993-5130
Phone (239) 333-6299
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Grow Healthcare Group PA | Clinical | Current | Accepting new patients |
Locations
66 W Flagler St
Ste 900
Miami, FL 33130
Phone (786) 244-7711
Networks
- AL HMO
- devoted network organization-84bf27aa-506a-49c4-8818-702cf5e8efb3
- devoted network organization-d5084670-562f-408b-b100-22a1a4ef4d82
- FL HMO C-SNP
- devoted network organization-14bfd35d-d818-4696-813b-340339e464ef
- FL HMO D-SNP
- FL HMO
- devoted network organization-25ba88d3-d0a6-4213-84f1-eef6f2b59f68
- AL HMO D-SNP
- devoted network organization-0f7f8d4f-1035-4992-8c02-dc86d12e700e
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744243200000",
"number": "1003610965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "626 NW 16TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339935130",
"telephone_number": "239-333-6299"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "626 NW 16TH TER",
"city": "CAPE CORAL",
"state": "FL",
"postal_code": "339935130",
"telephone_number": "239-333-6299"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "KEISHA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2025-04-01",
"last_updated": "2025-04-10",
"certification_date": "2025-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW24209",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cape Coral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.