Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Keegan Williams

Individual provider Clinical Social Worker · NPI 1124728191

Keegan Williams is a Clinical Social Worker in Fort Wayne, Indiana. Qualified in 2022, 4 years ago. Practices as a sole proprietor. Licensed in Indiana.

Years since qualifying
4
Licensed in
IN
In the registry since
2023
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Practice location Address checks out

436 E Washington Blvd
Fort Wayne, IN 46802-3210
Phone: (260) 200-5347
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 34012365A (IN)

Record details

NPI number1124728191
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedMarch 7, 2023
Last updated in NPPESOctober 28, 2025
Certification dateOctober 28, 2025

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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