Keith L Herbert, LCSW
Individual provider Active NPI Clinical Social Worker · Rosendale, NY
NPI 1679644140 · NPPES record last updated Jul 8, 2007
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128b(4) exclusion effective Sep 20, 2017.
Key facts
- NPI
- 1679644140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R024623-1 (NY)
- Practice address
- 49 Main St
Rosendale, NY 12472 - Phone
- (845) 658-9760
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R024623-1 | NY | MD | Clinical Social Worker |
| 024623 | NY | MD | Physician Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R024623-1 | NY | Yes |
Addresses
Primary practice location
49 Main St
Rosendale, NY 12472
Mailing address
151 Alda Dr
Kingston, NY 12401-8702
Phone (845) 339-1020
Other providers in Rosendale, NY
- Lydia Esther Diaz
- Stephanie Clark Ellis
- Amanda Gulbrandsen
- Amy Jo Guyre
- Kendra Harris
- John Klepeis
- Ella Ray Kondrat
- Jonathan Krieger
- Rebecca Rose Larsen-Decker
- Laura Coffey LCSW-R
All providers in Rosendale, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- OIG LEIE (HHS Office of Inspector General).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.