Keifa Annastacia Witter, MSW INTERN

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

90 Madison St Ste 502
Worcester, MA 01608-2058

Phone

(774) 530-6363

NPI assigned

Feb 21, 2025

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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.

• Renewal Integrative Psychotherapies LLC

  • Community/Behavioral Health Agency
  • Worcester, MA
  • NPI 1821626763
  NPD

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

{
    "created_epoch": "1740096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740096000000",
    "number": "1952107799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 502",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082058",
            "telephone_number": "774-530-6363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "90 MADISON ST STE 502",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016082058",
            "telephone_number": "774-530-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WITTER",
        "first_name": "KEIFA",
        "middle_name": "ANNASTACIA",
        "credential": "MSW INTERN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-02-21",
        "last_updated": "2025-02-21",
        "certification_date": "2025-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Karen Wiss, M.D.
• Leona Withersallaire
• Alexis Witkower
• Luz Didier Witt-Mesa
• Michael Witt
• Doris Wleh
• Samantha Lee Wnuk
• Bruce A. Woda, MD
• Amanda Wojcik, PA-C
• Kristen Marie Wojcoski

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.