Active NPI
Akishna Mayon Glasper-Williams, LCSW
- Clinical Social Worker
- Groveland, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 686 Black Eagle Dr
Groveland, FL 34736-8050 - Phone
- (305) 219-4596
- NPI assigned
- May 9, 2011
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6289 | SD | |
| Clinical Social Worker | 1041C0700X | Primary | ||
| Professional Counselor | 101YP2500X | LC21644. | ME | |
| Clinical Social Worker | 1041C0700X | 0904017815 | VA | |
| Clinical Social Worker | 1041C0700X | 6173 | TN |
Addresses
Primary practice location
686 Black Eagle Dr
Groveland, FL 34736-8050
Mailing address
686 Black Eagle Dr
Groveland, FL 34736-8050
Phone (305) 219-4596
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20230105000269 | TN | Practitioner - Clinical Social Worker | 7113203100 | Reassigns benefits to 2 organizations |
| I20230313002913 | SD | Practitioner - Clinical Social Worker | 7113203100 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6173 | TN | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Perry County Medical Center, Inc. | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Hardin County Regional Health Center | Current | Accepting new patients | |
| Mobridge Regional Hospital | Current | Accepting new patients | |
| Perry County Medical Center Inc | Current | Accepting new patients | |
| Hardin County Regional Health Center | Current | Accepting new patients | |
| Perry County Medical Center, Inc. | Past | Accepting new patients |
Locations
1309 10th Ave W
Mobridge, SD 57601
Phone (605) 845-3692
115 E Brooklyn St
Linden, TN 37096
Phone (615) 589-2104
7723 Clearview Church Ln
Ste 100
Lyles, TN 37098
Phone (931) 670-5520
765 Florence Rd
Savannah, TN 38372
Phone (731) 926-2300
175 Enoch Blvd
Savannah, TN 38372
Phone (319) 252-3007
765 Florence Rd
Ste A
Savannah, TN 38372
Interoperability endpoints
- akishna.williams.p1@direct.lifespanhealth.nextgenshare.com
- akishna.glasper-williams.1@30520.direct.athenahealth.com
- https://fhir-myrecord.cerner.com/r4/95143858-4077-4cf1-b5d2-c2a999f62bb3/
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1184676157
TN
-
- Federally Qualified Health Center (FQHC)
- Linden, TN
- NPI 1154322303
TN
-
- Federally Qualified Health Center (FQHC)
- Savannah, TN
- NPI 1013509223
-
- Rural Health Clinic/Center
- Selby, SD
- NPI 1093335333
-
- Rural Health Clinic/Center
- Mobridge, SD
- NPI 1275502577
-
- Dental Clinic/Center
- Linden, TN
- NPI 1134937345
-
- Federally Qualified Health Center (FQHC)
- Lyles, TN
- NPI 1659567527
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1304899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1786924800000",
"number": "1629360706",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "686 BLACK EAGLE DR",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347368050",
"telephone_number": "305-219-4596"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "686 BLACK EAGLE DR",
"city": "GROVELAND",
"state": "FL",
"postal_code": "347368050",
"telephone_number": "305-219-4596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GLASPER-WILLIAMS",
"first_name": "AKISHNA",
"middle_name": "MAYON",
"name_prefix": "Ms.",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2011-05-09",
"last_updated": "2026-08-17",
"certification_date": "2026-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "6289",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
},
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "ME",
"license": "LC21644.",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "VA",
"license": "0904017815",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TN",
"license": "6173",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Groveland, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.