Michelle Keiserman

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

IC-541 Issued in NV

Practice address

2401 W Horizon Ridge Pkwy
Ste 110
Henderson, NV 89052-2706

Phone

(702) 221-7001

NPI assigned

Jun 15, 2009

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NV

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

Specialty

Clinical Social Worker

Education

Other, 2007

Medicare assignment

May accept Medicare assignment

Group practices

Desert Behavioral HealthGroup PAC ID 3274702360, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Desert Behavioral Health

  • Community/Behavioral Health Agency
  • Las Vegas, NV
  • NPI 1467785527
  Medicare reassignment Care Compare group NPD
• M R Valles Healthcare P C Inc

  • Psychiatry Physician
  • Las Vegas, NV
  • NPI 1538226931
  Medicare reassignment NPD

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

{
    "created_epoch": "1245024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1245024000000",
    "number": "1083841217",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4590 CABO LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891215406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2401 W HORIZON RIDGE PKWY",
            "address_2": "STE 110",
            "city": "HENDERSON",
            "state": "NV",
            "postal_code": "890522706",
            "telephone_number": "702-221-7001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEISERMAN",
        "first_name": "MICHELLE",
        "name_prefix": "Ms.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-15",
        "last_updated": "2009-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "IC-541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terri Keener, LCSW, LSCSW
• Brittany Kees
• Sherri Kehoe
• Ashley Nicole Kei
• Jeremy Yee-Wei Kei, OD
• Keith a Winder DO PC
• Jacie Keliiholokai
• Cecily Keliikoa
• Marissa Kelleher
• Kailee Kellen

• Clinical Social Worker in Henderson, NV
• Providers in Henderson, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.