Lynn Carol Keidan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801013297 Issued in MI

Practice address

33300 Five Mile Rd Ste 208
Livonia, MI 48154-3077

Phone

(734) 522-0280

Fax

(734) 522-3654

NPI assigned

Jan 29, 2007

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570147200000",
    "number": "1447396254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "31092 N PARK DR",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483311447",
            "telephone_number": "248-330-1768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33300 FIVE MILE RD STE 208",
            "city": "LIVONIA",
            "state": "MI",
            "postal_code": "481543077",
            "telephone_number": "734-522-0280",
            "fax_number": "734-522-3654"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIDAN",
        "first_name": "LYNN",
        "middle_name": "CAROL",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2019-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801013297",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bridgett Keeley
• Breana Antoinette Keels
• Queshanti Keene
• Maher K Kefri, MD
• Katelynn Kehoe, BEHAVIOR TECHNICIAN
• Sharon Keiffer
• Jason Wayne Keilman, ACA, NBC-HIS
• Keith M Tobin DO PC
• Karen Lynn Keith, M.D.
• Kathryn Keith, LLMSW

• Clinical Social Worker in Livonia, MI
• Providers in Livonia, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2019; 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.