Individual provider Active NPI

Akishna Mayon Glasper-Williams, LCSW

  • Clinical Social Worker
  • Groveland, FL
National Provider Identifier
1629360706
Registry record updated Aug 17, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Aug 17, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
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, SD2 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

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
6173TNMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Perry County Medical Center, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Mobridge Regional Hospital Current Accepting new patients
Mobridge Regional Hospital CurrentSince Feb 1, 2023 Accepting new patients
Hardin County Regional Health Center CurrentSince Nov 1, 2022 Accepting new patients
Mobridge Regional Hospital CurrentSince Feb 1, 2023 Accepting new patients
Perry County Medical Center Inc CurrentSince Feb 1, 2023 Accepting new patients
Hardin County Regional Health Center CurrentSince Nov 1, 2022 Accepting new patients
Perry County Medical Center, Inc. PastSince Feb 1, 2023 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

  • Direct secure messaging: akishna.williams.p1@direct.lifespanhealth.nextgenshare.com
  • Direct secure messaging: akishna.glasper-williams.1@30520.direct.athenahealth.com
  • FHIR API: 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.

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

Verify at the official NPI Registry.