Sharon Keyes, L.C.S.W.
Individual provider Active NPI Clinical Social Worker · Green Mountain, NC
NPI 1114229101 · NPPES record last updated Nov 23, 2010
Key facts
- NPI
- 1114229101
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- C004848 (NC)
- Practice address
- 8851 Jacks Creek Rd
Green Mountain, NC 28740-8802 - Phone
- (828) 678-3408
- NPI assigned
- Nov 23, 2010
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Family First Medical Care a Professional Corporation
Practice addresses (Care Compare)
1317 Oakdale Rd
Suite 100
Modesto, CA 95355-3362
Phone (209) 522-3362
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20191014002405 | CA | Practitioner - Clinical Social Worker | 8729027495 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C004848 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family First Medical Care a Professional Corporation | Current |
Accepting new patients | |
| Family First Medical Care a Professional Corporation | Current |
Accepting new patients | |
| New Vistas-Mountain Laurel, Inc. | Clinical | Past | Accepting new patients |
| Hospice & Palliative Care of the Blue Ridge Inc | Past |
Accepting new patients |
Locations
1317 Oakdale Rd
Ste 100
Modesto, CA 95355
Phone (209) 522-3362
1317 Oakdale Rd
Ste 440
Modesto, CA 95355
Phone (209) 522-3362
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C004848 | NC | Yes |
| Clinical Social Worker | 1041C0700X | 21824 | CA |
Addresses
Primary practice location
8851 Jacks Creek Rd
Green Mountain, NC 28740-8802
Mailing address
8851 Jacks Creek Rd
Green Mountain, NC 28740-8802
Phone (828) 678-3408
Other providers in Green Mountain, NC
All providers in Green Mountain, NC · Clinical Social Worker in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 23, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.