Keith William Merrifield, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

3245 Hospital Dr
Juneau, AK 99801-7809

Phone

(907) 364-4445

Fax

(907) 364-4487

NPI assigned

Oct 19, 2010

Last updated

Feb 11, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 TX, IL2 enrollments

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 2

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Southeast Alaska Regional Health Consortium

  dba Thorne Bay Health Clinic

  • Clinic/Center
  • Thorne Bay, AK
  • NPI 1376758037

  TX

  Medicare reassignment NPD
• Clarity Clinic PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Chicago, IL
  • NPI 1063803856

  Clinical

  Medicare reassignment NPD
• South East Alaska Regional Health Consortium

  dba Hydaburg Health Center

  • Clinic/Center
  • Hydaburg, AK
  • NPI 1073728168
  NPD
• Southeast Alaska Regional Health Consortium

  dba SEARHC Specialty Care Clinic- Salmon Creek

  • Clinic/Center
  • Juneau, AK
  • NPI 1427941343
  NPD
• South East Alaska Regional Health Consortium

  dba Angoon Health Center

  • Clinic/Center
  • Angoon, AK
  • NPI 1215983945
  NPD (past)
• South East Alaska Regional Health Consortium

  dba Wrangell Medical Center

  • Clinic/Center
  • Wrangel, AK
  • NPI 1487836391
  NPD (past)
• South East Alaska Regional Health Consortium

  dba Pelican Health Clinic

  • Clinic/Center
  • Pelican, AK
  • NPI 1659585479
  NPD (past)
• South East Alaska Regional Health Consortium

  • Clinic/Center
  • Kasaan, AK
  • NPI 1962616821
  NPD (past)
• Southeast Alaska Regional Health Consortium

  dba Yakutat Community Health Center

  • Clinic/Center
  • Yakutat, AK
  • NPI 1033323605
  NPD (past)
• Southeast Alaska Regional Health Consortium

  dba Hoonah Health Center

  • Clinic/Center
  • Hoonah, AK
  • NPI 1285849943
  NPD (past)
• Yakutat Tribal Health Board

  dba Yakutat Community Health Center

  • Clinic/Center
  • Yakutat, AK
  • NPI 1871529628
  NPD (past)

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

{
    "created_epoch": "1287446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1423612800000",
    "number": "1588974976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 TROY AVE",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998011453",
            "telephone_number": "907-305-0088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3245 HOSPITAL DR",
            "city": "JUNEAU",
            "state": "AK",
            "postal_code": "998017809",
            "telephone_number": "907-364-4445",
            "fax_number": "907-364-4487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERRIFIELD",
        "first_name": "KEITH",
        "middle_name": "WILLIAM",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-10-19",
        "last_updated": "2015-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri M Mell, D.C.
• Tyler Mellors
• Henry Melville
• Barbara Sue Mercer, CDCII
• Sabrina Meredith, RN
• Lucrecia L. Mervine, PT
• Janice Mesdag Church, LCSW, CDCI
• Frank Fir Mesdag, FRANK MESDAG
• Forrest Bates Messerschmidt, O.D.
• Stacey Messerschmidt

• Clinical Social Worker in Juneau, AK
• Providers in Juneau, AK by specialty
• Clinical Social Worker in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2015; 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.