Individual provider Active NPI

Keisha Greenwell, MASTERS

  • Clinical Social Worker
  • St George, UT
National Provider Identifier
1699651117
Registry record updated Aug 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
4892106-3501 Issued in UT
Practice address
260 W Saint George Blvd
St George, UT 84770-3727
Phone
(435) 590-1166
NPI assigned
Aug 12, 2025
Last updated
Aug 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 4892106-3501 UT Primary

Addresses

Primary practice location

260 W Saint George Blvd
St George, UT 84770-3727

Mailing address

673 S 300 E
Cedar City, UT 84720-3512
Phone (435) 590-1166

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
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 1

Enrollment IDStateProvider typePAC IDDetails
I20251015004911 UT Practitioner - Clinical Social Worker 7719474402 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Trauma Treatment and Counseling LLCGroup PAC ID 3476900796, 8 clinicians

Practice addresses (Care Compare)

766 N 2860
Suite 201
St George, UT 84790-8909
Phone (435) 227-5506

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4892106-3501UTMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Trauma Treatment & Counseling LLC Clinical CurrentSince Oct 1, 2025 Accepting new patients

Locations

1579 N Main St
Ste 106
Cedar City, UT 84721
Phone (435) 865-6636

249 E Tabernacle St
Ste 100
St George, UT 84770
Phone (435) 227-5506

766 N 2860 E
Ste 201
St George, UT 84790
Phone (435) 227-5250

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1754956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1699651117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 S 300 E",
            "city": "CEDAR CITY",
            "state": "UT",
            "postal_code": "847203512",
            "telephone_number": "435-590-1166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 W SAINT GEORGE BLVD",
            "city": "ST GEORGE",
            "state": "UT",
            "postal_code": "847703727",
            "telephone_number": "435-590-1166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GREENWELL",
        "first_name": "KEISHA",
        "credential": "MASTERS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-08-12",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "UT",
            "license": "4892106-3501",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in St George, UT

Sources for this page

Verify at the official NPI Registry.