Keisha Graham, MSW, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

2755 E Desert Inn Rd Ste 260
Las Vegas, NV 89121-3690

Phone

(702) 490-9009

Fax

(866) 737-6147

NPI assigned

Dec 13, 2011

Last updated

Nov 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pro-Health Therapeutic & Empowerment Services LLC

  dba Pro-Health Wellness Group

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1013330695
  Medicare reassignment NPD Authorized official
• Pro-Health Therapeutic & Empowerment Services LLC

  dba ProHealth Therapeutic & Empowerment Services

  • General Practice Physician
  • Las Vegas, NV
  • NPI 1053967265
  NPD (past) Authorized official
• Pro-Health Therapeutic & Empowerment Services LLC

  • Community Health Worker
  • Las Vegas, NV
  • NPI 1194645598
  NPD (past) Authorized official
• Pro-Health Therapeutic & Empowerment Services LLC

  dba ProHealth Wellness Group

  • Behavior Analyst
  • Las Vegas, NV
  • NPI 1225847601
  Authorized official Same address or phone

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1323734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732924800000",
    "number": "1063780500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2620 S MARYLAND PKWY STE 14-199",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891098300",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2755 E DESERT INN RD STE 260",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213690",
            "telephone_number": "702-490-9009",
            "fax_number": "866-737-6147"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "KEISHA",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-12-13",
        "last_updated": "2024-11-30",
        "certification_date": "2024-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Indonaysa Chinnale Graham
• Janis Martine Graham
• Jesse Graham
• John Thomas Graham
• Karena Graham
• Kristina Graham, APRN-CNP
• Lakesha Graham
• Lisa Rae Graham
• Marion Graham
• Michael Graham, MD

• Clinical Social Worker in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.