Melissa Marie Keitz, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

080117-1 Issued in NY

Practice address

3350 Main St
Buffalo, NY 14214-1316

Phone

(716) 835-4011

Fax

(716) 835-0253

NPI assigned

Oct 29, 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 NY

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

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.

• Bestself Behavioral Health, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Buffalo, NY
  • NPI 1508868407
  Medicare reassignment NPD
• Bestself Behavioral Health, Inc.

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Orchard Park, NY
  • NPI 1891907507
  NPD
• Michael D. Terranova & Mark D. Bezbatchenko PTR

  • Pediatric Adolescent Medicine Physician
  • Bowmansville, NY
  • NPI 1417036708
  NPD (past)

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

{
    "created_epoch": "1256774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622505600000",
    "number": "1164758918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3350 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141316",
            "telephone_number": "716-835-4011",
            "fax_number": "716-835-0253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3350 MAIN ST",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142141316",
            "telephone_number": "716-835-4011",
            "fax_number": "716-835-0253"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5330 Genesee St",
            "address_purpose": "LOCATION",
            "city": "Bowmansville",
            "state": "NY",
            "postal_code": "140261035",
            "country_code": "US",
            "telephone_number": "716-684-6140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEITZ",
        "first_name": "MELISSA",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-29",
        "last_updated": "2021-06-01",
        "certification_date": "2021-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080117-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abigail Kegler
• Monica B. Kehagias-Gordon, LMSW
• Bethany K Kehrer
• Lynn Mare Keith
• Tiffany Keith, LPN
• Caitlyn Keklak
• Paul T Keleher, PT
• Christina Keliny, M.D.
• Marcy Kelkenberg
• Sandra Lee Kelkenberg, R.D.

• Clinical Social Worker in Buffalo, NY
• Providers in Buffalo, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2021; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.