Keisha Pearson, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

44SL07043600 Issued in NJ

Practice address

69 Franklin Rd
Teaneck, NJ 07666-5918

Phone

(201) 488-0408

NPI assigned

Jul 10, 2024

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1720569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1225875818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "69 FRANKLIN RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665918",
            "telephone_number": "862-378-0780"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "69 FRANKLIN RD",
            "city": "TEANECK",
            "state": "NJ",
            "postal_code": "076665918",
            "telephone_number": "201-488-0408"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "KEISHA",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-07-10",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "1210200",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07043600",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Troy Patterson
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• Bianca M Paulino
• Daniel Payson, CNIM
• Peace Health Partners, PC
• Pavani Peddi, MD
• Pedi-Care Corp
• Pediatric Occupational Therapy Services, LLC
• Pediatrics on Demand
• Gemma T. Pedraza-Hetalia, PT

• Social Worker in Teaneck, NJ
• Providers in Teaneck, NJ by specialty
• Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2024; 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.