Individual provider Active NPI

Karen M. Keeler, LMSW

  • Clinical Social Worker
  • Farmington Hills, MI
National Provider Identifier
1528076486
Registry record updated Dec 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
KK033397 Issued in MI
Practice address
30665 Northwestern Hwy
Ste 255
Farmington Hills, MI 48334-3144
Phone
(248) 254-3332
Fax
(248) 254-3333
NPI assigned
Aug 4, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 19, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X KK033397 MI Primary

Addresses

Primary practice location

30665 Northwestern Hwy
Ste 255
Farmington Hills, MI 48334-3144

Mailing address

30375 Northwestern Highway,
Suite 200
Farmington Hills, MI 48334-3299
Phone (248) 254-3350

Other identifiers 1

IdentifierTypeStateIssuer
KK033397OtherMILICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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

Enrollment IDStateProvider typePAC IDDetails
I20060317000049 MI Practitioner - Clinical Social Worker 4880614478 Practice locations: Farmington Hills, MI

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

30665 Northwestern Hwy
Suite 255
Farmington Hills, MI 48334-3144
Phone (248) 254-3350

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
KK033397MIMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1154649600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482105600000",
    "number": "1528076486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30375 NORTHWESTERN HIGHWAY,",
            "address_2": "SUITE 200",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343299",
            "telephone_number": "248-254-3350",
            "fax_number": "248-254-3333"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30665 NORTHWESTERN HWY",
            "address_2": "STE 255",
            "city": "FARMINGTON HILLS",
            "state": "MI",
            "postal_code": "483343144",
            "telephone_number": "248-254-3332",
            "fax_number": "248-254-3333"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELER",
        "first_name": "KAREN",
        "middle_name": "M.",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-04",
        "last_updated": "2016-12-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "KK033397",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "KK033397",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Farmington Hills, MI

Sources for this page

Verify at the official NPI Registry.