Keisha Nicole Keith, LGSW

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

License

LG50082431 Issued in DC

Practice address

2625 Patricia Roberts Harris PL NE
Washington, DC 20018-1614

Phone

(773) 584-2289

NPI assigned

Aug 3, 2020

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

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": "1596412800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1596412800000",
    "number": "1730799974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2625 PATRICIA ROBERTS HARRIS PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181614",
            "telephone_number": "773-584-2289"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2625 PATRICIA ROBERTS HARRIS PL NE",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200181614",
            "telephone_number": "773-584-2289"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2041 Martin Luther King Jr Ave SE Ste 303",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200207036",
            "country_code": "US",
            "telephone_number": "773-584-2289",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KEISHA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "DC",
            "license": "LG50082431",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha Keita
• Nia Keita, RN
• Shomarka Omar Keita, MD, DPHIL
• Debra Joan Keith, NP
• Kathryn Keith, NP
• Lauren Keith
• Stephen Norbert Keith, MD, MSPH
• Annie Keitt
• Cynthia Keitt
• Denee Deon Keitt

• Mental Health Clinic/Center (Including Community Mental Health Center) in Washington, DC
• Providers in Washington, DC by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2020; 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.