Carissa Keeter, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

22292 Issued in FL

Practice address

117 Partin Dr N
Niceville, FL 32578-2055

Phone

(980) 263-0680

NPI assigned

Nov 15, 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

Enrolled in FL

Eligible to order & refer

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

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1700006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700006400000",
    "number": "1285409607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 TULIP TREE WAY",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783422",
            "telephone_number": "980-263-0680"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 PARTIN DR N",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325782055",
            "telephone_number": "980-263-0680"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEETER",
        "first_name": "CARISSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-11-15",
        "last_updated": "2023-11-15",
        "certification_date": "2023-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "22292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Henard Benhamron, D.C.
• Karena Dawn Karshbaum, RN
• Cherie Kass, LMHC
• Kca Physical Therapy
• Lynn M Keefe, MD
• Courtney Leigh Keith, RD
• Nicole Marie Keller, PT, DPT
• Dianne Kelly Smith, DNP, APRN
• Colby Laine Kelly, LCSW
• Elizabeth Kelton

• Clinical Social Worker in Niceville, FL
• Providers in Niceville, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2023; 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.

Verify at the official NPI Registry.