Keyondio Lee, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW15680 Issued in FL

Practice address

138 Deloris Madison Dr
Midway, FL 32343-2213

Phone

(850) 270-7585

NPI assigned

Nov 3, 2010

Sex

Female

Sole proprietor

No

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

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.

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• The Center for Health Equity, Inc.

  • Community/Behavioral Health Agency
  • Quincy, FL
  • NPI 1528469624
  NPD (past)

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721692800000",
    "number": "1316248651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 DELORIS MADISON DR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323432213",
            "telephone_number": "850-270-7585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 DELORIS MADISON DR",
            "city": "MIDWAY",
            "state": "FL",
            "postal_code": "323432213",
            "telephone_number": "850-270-7585"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "231 E Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Quincy",
            "state": "FL",
            "postal_code": "323512426",
            "country_code": "US",
            "telephone_number": "850-875-5001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LEE",
        "first_name": "KEYONDIO",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-11-03",
        "last_updated": "2024-07-23",
        "certification_date": "2024-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW15680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dominique Jackson, MSW, RCSWI
• Heather O'Brien Johnson, LCSW
• Just a Step Above LLC
• Toni Knight, RN
• Shenika Lavette Lalanne
• Legacy of Greatness Agency LLC
• Legacy of Greatness Agency LLC
• Gion E Louis
• Tangely Maxwell, COMMUNITY BASED
• Sukati Lee Miller, CNA

• Clinical Social Worker in Midway, FL
• Providers in Midway, 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 Jul 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.