Keith Richard Cherry, MSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

680110260 Issued in MI

Practice address

6530 Secor Rd Ste 10
Lambertville, MI 48144-9456

Phone

(734) 854-7061

NPI assigned

Jan 21, 2019

Last updated

Jan 21, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Clinical Social Worker

Education

Other, 1994

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Christian Care Connection, LLCGroup PAC ID 4486923398, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Christian Care Connection LLC

  • Mental Health Counselor
  • Lambertville, MI
  • NPI 1205983038

  Clinical

  Medicare reassignment Care Compare group NPD
• Sanctuary Behavioral Health Care

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Luna Pier, MI
  • NPI 1790698405
  NPD (past) Authorized official

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

{
    "created_epoch": "1548028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548028800000",
    "number": "1831663160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 BEACHWALK TRL",
            "city": "LUNA PIER",
            "state": "MI",
            "postal_code": "481579400",
            "telephone_number": "419-309-8564"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6530 SECOR RD STE 10",
            "city": "LAMBERTVILLE",
            "state": "MI",
            "postal_code": "481449456",
            "telephone_number": "734-854-7061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHERRY",
        "first_name": "KEITH",
        "middle_name": "RICHARD",
        "credential": "MSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-01-21",
        "last_updated": "2019-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "680110260",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pamela Mae Bush, LLPC
• Thomasene Byers, C.R.N.A.
• Lisa Calcamuggio, LISA CALCAMUGGIO
• Thomas Joseph Calloway, RPH
• Eric Alan Carter, RPH
• Travis Childress
• Kelly Nicole Chisholm, CNP
• Christian Care Connection LLC
• Citadel Health Equipment Corp.
• Andrew Leon Clark

• Clinical Social Worker in Lambertville, MI
• Providers in Lambertville, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2019; 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.

Verify at the official NPI Registry.