Keiundra Devonn Jackson Nash

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW04057 Issued in RI

Practice address

10441 Spring Green Blvd Apt 1111
Katy, TX 77494-6070

Phone

(346) 322-8411

NPI assigned

May 27, 2025

Last updated

May 4, 2026By 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 2

Addresses

Medicare fee-for-service enrollment

Enrolled in RI, IL2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Boston Neurobehavioral Associates, LLCGroup PAC ID 9436142429, 159 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Boston Neurobehavioral Associates, LLC

  • Psychiatry Physician
  • New Bedford, MA
  • NPI 1558415307

  IL, RI

  Medicare reassignment Care Compare group NPD
• National Neurobehavioral Associates PC

  • Psychiatry Physician
  • Irvington, NJ
  • NPI 1144193293

  IL, RI

  Medicare reassignment NPD
• Nexumhc Ri

  • Clinical Psychologist
  • Barrington, RI
  • NPI 1255157889
  NPD

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777852800000",
    "number": "1376336982",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10441 SPRING GREEN BLVD APT 1111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946070",
            "telephone_number": "346-322-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10441 SPRING GREEN BLVD APT 1111",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774946070",
            "telephone_number": "346-322-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACKSON NASH",
        "first_name": "KEIUNDRA",
        "middle_name": "DEVONN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-05-27",
        "last_updated": "2026-05-04",
        "certification_date": "2026-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150119333",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW04057",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ja Dental Group PLLC
• Joseph Jabbour, D.O.
• Nazish Jabeen
• Kayrah Jack, PHARM D., RPH
• Rebecca Candland Jacklin, LMSW
• April Jackson, MS CCC-SLP
• Blessing Jackson
• Brooke Lynn Jackson
• Cecilia Jackson
• Jessica Jackson, LMSW

• Clinical Social Worker in Katy, TX
• Providers in Katy, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2026; 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.