Healthcare Provider Details

I. General information

NPI: 1629360706
Provider Name (Legal Business Name): AKISHNA MAYON GLASPER-WILLIAMS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/09/2011
Last Update Date: 08/01/2026
Certification Date: 08/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

686 BLACK EAGLE DR
GROVELAND FL
34736-8050
US

IV. Provider business mailing address

686 BLACK EAGLE DR
GROVELAND FL
34736-8050
US

V. Phone/Fax

Practice location:
  • Phone: 305-219-4596
  • Fax:
Mailing address:
  • Phone: 305-219-4596
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6289
License Number StateSD
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC21644.
License Number StateME
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6173
License Number StateTN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: