Individual provider · Type 1 NPI

Keegan Williams

Clinical Social Worker · Fort Wayne, IN

NPI number 1124728191 Active

Practice location

436 E Washington Blvd
Fort Wayne, IN 46802-3210

Call (260) 200-5347 Map

Mailing address

12711 Slash Pass
Fort Wayne, IN 46818-0063

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X34012365A (IN)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1124728191

Keegan Williams's National Provider Identifier is 1124728191, issued on Mar 7, 2023. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Wayne, IN. The record was last updated on Oct 28, 2025.