Keshayka Shantell Williams, LCSW-S

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

60878 Issued in TX

Practice address

13917 Virtue St
Manor, TX 78653-2244

Phone

(512) 850-5457

NPI assigned

Mar 6, 2025

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

Other names 1

• Kiki Shantell Williams Other name

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": "1741219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741219200000",
    "number": "1548068273",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13917 VIRTUE ST",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532244",
            "telephone_number": "512-850-5457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13917 VIRTUE ST",
            "city": "MANOR",
            "state": "TX",
            "postal_code": "786532244",
            "telephone_number": "512-850-5457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "KESHAYKA",
        "middle_name": "SHANTELL",
        "credential": "LCSW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-03-06",
        "last_updated": "2025-03-06",
        "certification_date": "2025-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "60878",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KIKI",
            "last_name": "WILLIAMS",
            "middle_name": "SHANTELL",
            "credential": "LCSW-S",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Kathryn Marie Zeringue, BCBA

• All providers in Manor, TX
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2025; 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.