Keisha Michelle Deen, LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P016556 Issued in NC

Practice address

306 W I St
Newton, NC 28658-3534

Phone

(828) 464-4061

NPI assigned

Jul 15, 2021

Last updated

Jul 15, 2021By the provider in NPPES

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 NC

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

Interoperability endpoints

• Direct secure messaging: mdeen350384@direct.ochin.org

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

• Gaston Family Health Services, Inc.

  dba Kintegra Family Medicine - Hudson

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1215932215
  Medicare reassignment NPD
• Miracles Healing Centers Inc

  • Mental Health Counselor
  • Mooresville, NC
  • NPI 1962597732
  Medicare reassignment NPD
• Gaston Family Health Services, Inc

  dba Kintegra Family Medicine - Xray Dr

  • Federally Qualified Health Center (FQHC)
  • Gastonia, NC
  • NPI 1306644315
  NPD
• Wellcomemd NC Clinic PLLC

  • Internal Medicine Physician
  • Mooresville, NC
  • NPI 1013525278
  NPD
• Gaston Family Health Services, Inc.

  dba Kintegra at Stanley Middle

  • Federally Qualified Health Center (FQHC)
  • Stanley, NC
  • NPI 1427807213
  NPD (past)
• Gaston Family Health Services, Inc.

  dba Kintegra at South Newton Elementary

  • Federally Qualified Health Center (FQHC)
  • Newton, NC
  • NPI 1578043113
  NPD (past)
• Gaston Family Health Services, Inc.

  dba Kintegra at East Gaston High

  • Federally Qualified Health Center (FQHC)
  • Mount Holly, NC
  • NPI 1578312351
  NPD (past)

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

{
    "created_epoch": "1626307200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626307200000",
    "number": "1326610502",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W I ST",
            "city": "NEWTON",
            "state": "NC",
            "postal_code": "286583534",
            "telephone_number": "828-464-4061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEEN",
        "first_name": "KEISHA",
        "middle_name": "MICHELLE",
        "credential": "LCSWA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-07-15",
        "last_updated": "2021-07-15",
        "certification_date": "2021-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P016556",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David B Gaddis DDS PA (Sleep Well Newton)
• David B Gaddis, DDS PA
• Olinda Davidson, LCMHC
• James Rick Davis, O.D.
• Matthew James Davis, O.D.
• Teresa S Demeyer, NP
• Jennifer Renee Dinkins, FNP
• Alice Elizabeth Dischiavi, OT
• Discovery Christian Fellowship Church
• Dr Ronald R Key DDS PA

• Clinical Social Worker in Newton, NC
• Providers in Newton, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.