Individual provider Active NPI

Chasidy Ann(E) Keyser, MS, LBSW

  • Social Worker
  • Sault Sainte Marie, MI
National Provider Identifier
1760681605
Registry record updated Jul 11, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6802085669 Issued in MI
Practice address
605 E 7TH Ave
Sault Sainte Marie, MI 49783-3111
Phone
(906) 635-7270
NPI assigned
Jul 11, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6802085669 MI Primary

Addresses

Primary practice location

605 E 7TH Ave
Sault Sainte Marie, MI 49783-3111

Mailing address

10060 S Goldade Rd
Brimley, MI 49715-9215
Phone (906) 248-2950

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
6802085669MIMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Weber and Devers Psychological Services, P.C. Past Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1184112000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1184112000000",
    "number": "1760681605",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10060 S GOLDADE RD",
            "city": "BRIMLEY",
            "state": "MI",
            "postal_code": "497159215",
            "telephone_number": "906-248-2950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 E 7TH AVE",
            "city": "SAULT SAINTE MARIE",
            "state": "MI",
            "postal_code": "497833111",
            "telephone_number": "906-635-7270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYSER",
        "first_name": "CHASIDY",
        "middle_name": "ANN(E)",
        "name_prefix": "Mrs.",
        "credential": "MS, LBSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-11",
        "last_updated": "2007-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MI",
            "license": "6802085669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sault Sainte Marie, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.