Individual provider Active NPI

Keran Eudora Ernest, LMSW

  • Clinical Social Worker
  • Flint, MI
National Provider Identifier
1811274723
Registry record updated Mar 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801090234 Issued in MI
Practice address
5710 Clio Rd
Flint, MI 48504-1525
Phone
(810) 406-4246
Fax
(833) 582-2259
NPI assigned
Nov 5, 2011
Last updated
Mar 5, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801090234 MI Primary
Social Worker 104100000X
Addiction (Substance Use Disorder) Counselor 101YA0400X C-01030 MI

Addresses

Primary practice location

5710 Clio Rd
Flint, MI 48504-1525

Mailing address

5710 Clio Rd
Flint, MI 48504-1525
Phone (810) 406-4246

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
I20230211000294 MI Practitioner - Clinical Social Worker 6800268269 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

5710 Clio Rd
Flint, MI 48504-1525
Phone (810) 787-4445

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
C-01030MIMDAddiction (Substance Use Disorder) Counselor
6801090234MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Genesee Health System CurrentSince Oct 25, 2022 Accepting new patients
Hamilton Community Health Network Inc. CurrentSince Jun 17, 2024 Accepting new patients
Hamilton Community Health Network, Inc. CurrentSince Jun 17, 2024 Accepting new patients
Genesee Health System Clinical CurrentSince Oct 25, 2022 Accepting new patients
Bio-Med Behavioral Health Services Addiction (Substance Use Disorder) Past Accepting new patients

Locations

1040 W Bristol Rd
Flint, MI 48507
Phone (810) 257-3724

225 E 5th St
Ste 300
Flint, MI 48502
Phone (810) 406-4912

2900 N Saginaw St
Flint, MI 48505
Phone (810) 789-9141

420 W 5th Ave
Flint, MI 48503
Phone (810) 257-3724

5710 Clio Rd
Flint, MI 48504
Phone (810) 785-4445

Organizations & group practices 5

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": "1320451200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1772668800000",
    "number": "1811274723",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5710 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041525",
            "telephone_number": "810-406-4246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5710 CLIO RD",
            "city": "FLINT",
            "state": "MI",
            "postal_code": "485041525",
            "telephone_number": "810-406-4246",
            "fax_number": "833-582-2259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ERNEST",
        "first_name": "KERAN",
        "middle_name": "EUDORA",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-05",
        "last_updated": "2026-03-05",
        "certification_date": "2026-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801090234",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MI",
            "license": "C-01030",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Flint, MI

Sources for this page

Verify at the official NPI Registry.