Individual provider Active NPI

Deanna Marie Keith, LMSW

  • Clinical Social Worker
  • Berrien Springs, MI
National Provider Identifier
1780292664
Registry record updated Jul 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801106816 Issued in MI
Practice address
300 W Ferry St
Berrien Springs, MI 49103-1109
Phone
(269) 815-5331
NPI assigned
Jul 16, 2020
Last updated
Jul 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 16, 2020

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 6801106816 MI Primary

Addresses

Primary practice location

300 W Ferry St
Berrien Springs, MI 49103-1109

Mailing address

300 W Ferry St
Berrien Springs, MI 49103-1109

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
I20201110000679 MI Practitioner - Clinical Social Worker 9133539760 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2010
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services
Group practices
Life Coach Psychology PLCGroup PAC ID 9133304744, 11 clinicians
Comforts of Home Counseling and Care Management LLCGroup PAC ID 8123305802, 11 clinicians

Practice addresses (Care Compare)

300 W Ferry St
Berrien Springs, MI 49103-1109
Phone (269) 815-5331

391 S Shore Dr
Suite 214
Battle Creek, MI 49014-5446
Phone (269) 964-0153

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801106816MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Comforts of Home Counseling & Care Management LLC Clinical CurrentSince Mar 10, 2024 Accepting new patients

Locations

391 S Shore Dr
Ste 214
Battle Creek, MI 49014
Phone (269) 245-5440

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1594857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594857600000",
    "number": "1780292664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 W FERRY ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W FERRY ST",
            "city": "BERRIEN SPRINGS",
            "state": "MI",
            "postal_code": "491031109",
            "telephone_number": "269-815-5331"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "DEANNA",
        "middle_name": "MARIE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-07-16",
        "last_updated": "2020-07-16",
        "certification_date": "2020-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801106816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Berrien Springs, MI

Sources for this page

Verify at the official NPI Registry.