Kenisha Florence Braswell, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20748 Issued in FL

Practice address

111 Jewel Dr
Altamonte Springs, FL 32714-2715

Phone

(863) 330-0535

Fax

(863) 877-4682

NPI assigned

Nov 28, 2022

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Welcome to Resilience

  • Clinical Social Worker
  • Altamonte Springs, FL
  • NPI 1346953692
  NPD Authorized official

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

{
    "created_epoch": "1669593600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684022400000",
    "number": "1932819281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "113 SILVER MAPLE BND",
            "city": "DAVENPORT",
            "state": "FL",
            "postal_code": "338379533",
            "telephone_number": "407-990-2743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 JEWEL DR",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327142715",
            "telephone_number": "863-330-0535",
            "fax_number": "863-877-4682"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRASWELL",
        "first_name": "KENISHA",
        "middle_name": "FLORENCE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-11-28",
        "last_updated": "2023-05-14",
        "certification_date": "2023-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "20748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "WToR2022@gmail.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "113 Silver Maple Bnd",
            "city": "Davenport",
            "state": "FL",
            "country_code": "US",
            "postal_code": "338379533",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brian Michael Bradley, MS, ATC, LAT, CSCS
• Jennifer W. Bradley
• Nickelice Brand, D.D.S.
• Theodora Brandon, MD
• Kioanna Branker
• Venetta Brathwaite, MSW LCSWI
• Dinah Braud, PSY.D.
• Andrew Stuart Braunstein, MD
• Latoya Brazzel
• Veronica Breaux

• Clinical Social Worker in Altamonte Springs, FL
• Providers in Altamonte Springs, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2023; 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.