Keshara Diamond Brown, SW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6851103263 Issued in MI

Practice address

2820 Baker Rd Ste 100
Dexter, MI 48130-1196

Phone

(734) 580-2920

NPI assigned

Jan 13, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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 and National Provider Directory roles.

• Win With Wellness,LLC

  • Clinical Social Worker
  • Plano, TX
  • NPI 1962200030

  Clinical

  NPD Authorized official
• Peaceful Mind Counseling Services LLC

  • Counselor
  • Manchester, MI
  • NPI 1265922074
  NPD
• Sasco Dexter LLC

  • Community/Retail Pharmacy
  • Dexter, MI
  • NPI 1588929160
  NPD (past)

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

{
    "created_epoch": "1673568000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673568000000",
    "number": "1245944248",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2820 BAKER RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2820 BAKER RD STE 100",
            "city": "DEXTER",
            "state": "MI",
            "postal_code": "481301196",
            "telephone_number": "734-580-2920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7200 Dan Hoey Rd",
            "address_purpose": "LOCATION",
            "city": "Dexter",
            "state": "MI",
            "postal_code": "481304201",
            "country_code": "US",
            "telephone_number": "734-649-6348",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BROWN",
        "first_name": "KESHARA",
        "middle_name": "DIAMOND",
        "credential": "SW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-13",
        "last_updated": "2023-01-13",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6851103263",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alan Stephen Boyce, DC
• Julie Ann Boyd, M.A.,L.P.C.
• Terry L Braciszewski, PH.D,
• Jaime Brenay
• Jenna Marie Brooks
• Julie Anne Bumpus X, FNP-BC
• Thomas Joseph Burke, DDS
• Buschs Inc
• Erik Charles Cabble, PA-C
• Alyssa Cairo, D.D.S.

• All providers in Dexter, MI
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2023; 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.