Active NPI
Tanya McKeithen, LCSW
- Clinical Social Worker
- North Chesterfield, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 0904006290
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 0904006290 | VA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Arkansas Behavioral Healthcare System Inc | Current | 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.
-
- Community/Behavioral Health Agency
- Pine Bluff, AR
- NPI 1457398547
-
- Community/Behavioral Health Agency
- Richmond, VA
- NPI 1316229776
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.