Barry Keith, LISW, DCSW

Individual provider Active NPI Social Worker · Duncan, SC

NPI 1720021249 · NPPES record last updated Sep 21, 2009

Key facts

NPI
1720021249
Entity type
Individual (NPI type 1)
Primary specialty
Social Worker 104100000X
License
9318 (SC)
Practice address
199 River Falls Dr
Duncan, SC 29334-9248
Phone
(864) 680-7913
NPI assigned
Jun 13, 2006
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

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

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes

State licenses

LicenseStateTypeSpecialty
9318SCMDSpeech-Language Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Center for Cognitive Behavioral Therapy of Greater Columbus Inc Social Worker Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 9318 SC Yes

Addresses

Primary practice location

199 River Falls Dr
Duncan, SC 29334-9248

Mailing address

199 River Falls Dr
Duncan, SC 29334-9248
Phone (864) 680-7913

Other providers in Duncan, SC

All providers in Duncan, SC · Social Worker in South Carolina

Sources for this page

Verify at the official NPI Registry.