Keosha L Williams | Cleveland, OH • PECOS Search

Keosha L Williams

Social Worker

Behavioral Health & Social Service Providers

22001 Fairmount Blvd, Cleveland, OH 44118-4819

PECOS Enrollment

Based on the most recent information from CMS, provider Keosha L Williams does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 2:35 PM.

Profile Details

Provider ID
1356889398
Provider Type
Individual
Full Name
Williams, Keosha L
Credential
LISW

Gender
Female
Sole Proprietor
Yes
Enumeration Date
2/10/2017
Last Updated
11/21/2025

Contact Information

Practice Location

22001 Fairmount Blvd, Cleveland, OH 44118-4819

Unlisted Fax

Mailing Location

22001 Fairmount Blvd, Cleveland, OH 44118-4819

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 1041C0700X Primary	Description Social Worker Behavioral Health & Social Service Providers	License I.2507409 Ohio