Individual provider Active NPI

Kathryn Elizabeth Keith, LMSW

  • Social Worker
  • Ottumwa, IA
National Provider Identifier
1003500950
Registry record updated Jun 5, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
118549 Issued in IA
Practice address
1527 Albia Rd
Ottumwa, IA 52501-3907
Phone
(641) 682-8772
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 118549 IA Primary

Addresses

Primary practice location

1527 Albia Rd
Ottumwa, IA 52501-3907

Mailing address

1527 Albia Rd
Ottumwa, IA 52501-3907
Phone (641) 682-8772

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250930000507 IA Practitioner - Clinical Social Worker 4183120181 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southern Iowa Mental Health CenterGroup PAC ID 6002809647, 11 clinicians

Practice addresses (Care Compare)

1527 Albia Rd
Ottumwa, IA 52501-3907
Phone (641) 682-8772

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southern Iowa Mental Health Center CurrentSince Aug 22, 2025 Accepting new patients
Southern Iowa Mental Health Center CurrentSince Aug 22, 2025 Accepting new patients

Locations

1527 Albia Rd
Ottumwa, IA 52501
Phone (641) 682-8772

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685923200000",
    "number": "1003500950",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1527 ALBIA RD",
            "city": "OTTUMWA",
            "state": "IA",
            "postal_code": "525013907",
            "telephone_number": "641-682-8772"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "KATHRYN",
        "middle_name": "ELIZABETH",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2023-06-05",
        "certification_date": "2023-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IA",
            "license": "118549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ottumwa, IA

Sources for this page

Verify at the official NPI Registry.