Individual provider Active NPI

Tanya McKeithen, LCSW

  • Clinical Social Worker
  • North Chesterfield, VA
National Provider Identifier
1821378696
Registry record updated Dec 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904006290 Issued in VA
Practice address
8014 Midlothian Tpke
Suite 200-a
North Chesterfield, VA 23235-5291
Phone
(804) 592-4751
Fax
(804) 592-4752
NPI assigned
Aug 24, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 17, 2025

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 0904006290 VA Primary

Addresses

Primary practice location

8014 Midlothian Tpke
Suite 200-a
North Chesterfield, VA 23235-5291

Mailing address

PO Box 35229
North Chesterfield, VA 23235-0229
Phone (804) 592-4751

Other practice location 1

2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR
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
I20260114000550 AR Practitioner - Clinical Social Worker 3678897824 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Arkansas Behavioral Healthcare System IncGroup PAC ID 0042292674, 16 clinicians

Practice addresses (Care Compare)

121 Commercial Dr
B
Stuttgart, AR 72160-7033
Phone (870) 673-1633

2500 Rike Dr
Pine Bluff, AR 71603-3937
Phone (870) 534-1834

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0904006290VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Arkansas Behavioral Healthcare System Inc CurrentSince Dec 8, 2025 Accepting new patients
The Faces of Hope Past Accepting new patients

Locations

2500 Rike Dr
Pine Bluff, AR 71603
Phone (870) 534-1834

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1314144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1765929600000",
    "number": "1821378696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 35229",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232350229",
            "telephone_number": "804-592-4751",
            "fax_number": "804-592-4752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8014 MIDLOTHIAN TPKE",
            "address_2": "SUITE 200-A",
            "city": "NORTH CHESTERFIELD",
            "state": "VA",
            "postal_code": "232355291",
            "telephone_number": "804-592-4751",
            "fax_number": "804-592-4752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Rike Dr",
            "address_purpose": "LOCATION",
            "city": "Pine Bluff",
            "state": "AR",
            "postal_code": "716033937",
            "country_code": "US",
            "telephone_number": "870-534-1834",
            "fax_number": "870-534-5798",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEITHEN",
        "first_name": "TANYA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-24",
        "last_updated": "2025-12-17",
        "certification_date": "2025-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006290",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Chesterfield, VA

Sources for this page

Verify at the official NPI Registry.