Individual provider Active NPI

Keyasia C Downs, LISW

  • Clinical Social Worker
  • Columbus, OH
National Provider Identifier
1053921361
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.2203438 Issued in OH
Practice address
2303 Meadow Village Dr
Columbus, OH 43235-4913
Phone
(614) 992-3525
NPI assigned
Aug 3, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X S.1903737 OH
Clinical Social Worker 1041C0700X I.2203438 OH Primary

Addresses

Primary practice location

2303 Meadow Village Dr
Columbus, OH 43235-4913

Mailing address

9805 Statesville Rd # 6266
Charlotte, NC 28269-7647
Phone (980) 200-5978

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address keyasia@mahoganyrestorative.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
S.1903737OHMDSocial Worker
I.2203438OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mahogany Restorative Counseling, LLC CurrentSince Aug 28, 2022 Accepting new patients
Mindful Movements, PLLC Past Accepting new patients
Chante Meadows, LLC PastSince Apr 25, 2021 Accepting new patients

Organizations & group practices 3

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1654128000000",
    "number": "1053921361",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9805 STATESVILLE RD # 6266",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282697647",
            "telephone_number": "980-200-5978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2303 MEADOW VILLAGE DR",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432354913",
            "telephone_number": "614-992-3525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOWNS",
        "first_name": "KEYASIA",
        "middle_name": "C",
        "credential": "LISW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2022-06-02",
        "certification_date": "2022-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "OH",
            "license": "S.1903737",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.2203438",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "keyasia@mahoganyrestorative.com",
            "affiliation": "N",
            "endpointDescription": "HIPAA-compliant e-mail address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2303 Meadow Village Dr",
            "city": "Columbus",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432354913",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.