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KEEGAN WILLIAMS
NPI 1124728191
Social Worker - Clinical in Fort Wayne, IN

Active since March 07, 2023PECOS Enrolled
436 E WASHINGTON BLVD, FORT WAYNE, IN 46802(260) 200-5347 Get Directions Write a Review

NPPES record last updated: October 28, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Keegan Williams NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEEGAN WILLIAMS (NPI 1124728191) is an individual clinical provider in Fort Wayne, Indiana, licensed in Indiana (34012365A) and active in the NPI registry since March 2023. He is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1124728191
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEEGAN WILLIAMS
Location Address436 E WASHINGTON BLVDFort Wayne, IN 46802-3210
Mailing Address12711 Slash PassFort Wayne, IN 46818-0063 · (260) 414-4098
Phone(260) 200-5347
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateMarch 7, 2023
Last NPPES UpdateOctober 28, 2025
NPPES CertifiedOctober 28, 2025
✔ NPI 1124728191 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in IN · 34012365A
Definition
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 interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
436 E WASHINGTON BLVD, Fort Wayne, IN 46802
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keegan Williams is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID2567951148
PECOS Enrollment IDI20251103001558
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46802 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $53.07 – $161.76
Typical copayment $0.00 (range $13.26 – $40.44)
Most-billed visit code NA
Established Patient
$66.48 typical visit price
range $16.93 – $132.22
Typical copayment $16.62 (range $4.23 – $33.05)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

NOVA PHYSICIAN GROUP PLLC
Clinic/Center (Primary Care)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 298-6240
LISA MICHELLE HOLTSCLAW D.O.
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
MARRISA CULVER APN
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
DR. CYNTHIA GANNON MD
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 264-7711
RENEE C KUESS PHARMD
Pharmacist (Ambulatory Care)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 200-5347
BAMBI L MEYER LCSW, MSW
Social Worker (Clinical)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
AIMEE BELL NP-C
Nurse Practitioner (Family)
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111
JULIE MARIA STARK MD
Family Medicine
436 E WASHINGTON BLVD
FORT WAYNE, IN 46802
Allen County (260) 209-7111

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keegan Williams's NPI number?

The NPI number for Keegan Williams is 1124728191. It was assigned to this individual provider in the NPPES registry on March 7, 2023.

Where is Keegan Williams located?

Keegan Williams practices at 436 E Washington Blvd, Fort Wayne, IN 46802. The listed phone number is (260) 200-5347.

What is Keegan Williams's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Keegan Williams enrolled in Medicare?

Yes. Keegan Williams is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keegan Williams was last updated on October 28, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.