Keisha Passion Hasbrouck, LSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

150113344 Issued in IL

Practice address

201 W Springfield Ave Ste 1201
Champaign, IL 61820-6385

Phone

(217) 722-9079

Fax

(217) 501-4322

NPI assigned

Apr 16, 2024

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Keisha Passion Carthen Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• McNicholl Counseling, P.C.

  • Clinical Social Worker
  • Champaign, IL
  • NPI 1669774535
  NPD

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

{
    "created_epoch": "1713225600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762387200000",
    "number": "1902650880",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 W SPRINGFIELD AVE STE 1201",
            "city": "CHAMPAIGN",
            "state": "IL",
            "postal_code": "618206385",
            "telephone_number": "217-722-9079",
            "fax_number": "217-501-4322"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1612 Patton Dr",
            "address_purpose": "LOCATION",
            "city": "Mahomet",
            "state": "IL",
            "postal_code": "618538157",
            "country_code": "US",
            "telephone_number": "217-590-4178",
            "fax_number": "217-501-4322",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HASBROUCK",
        "first_name": "KEISHA",
        "middle_name": "PASSION",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-04-16",
        "last_updated": "2025-11-06",
        "certification_date": "2025-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150113344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KEISHA",
            "last_name": "CARTHEN",
            "middle_name": "PASSION",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Imani Taliah Harrison, MA, LCPC
• Kendell Harrison
• Rebecca Pauline Harrison, LCPC
• Prudence Hartwell, M.D.
• Chad R Hartz
• Katlyn Hasprey, DPT
• Tamica Nicole Hatchett, LCSW
• Jaime Lee Hauersperger
• James E Hauffe, MD
• Alan Haussermann II, DDS

• Social Worker in Champaign, IL
• Providers in Champaign, IL by specialty
• Social Worker in Illinois

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