Keith Richard Cherry, MSW
Individual provider Active NPI Clinical Social Worker · Lambertville, MI
NPI 1831663160 · NPPES record last updated Jan 21, 2019
Key facts
- NPI
- 1831663160
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 680110260 (MI)
- Practice address
- 6530 Secor Rd Ste 10
Lambertville, MI 48144-9456 - Phone
- (734) 854-7061
- NPI assigned
- Jan 21, 2019
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 1
Medicare Care Compare profile
- 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, LLC
Practice addresses (Care Compare)
6530 Secor Rd
Suite 10
Lambertville, MI 48144-9456
Phone (734) 854-7061
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MI
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200529000303 | MI | Practitioner - Clinical Social Worker | 8325469307 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 680110260 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christian Care Connection LLC | Clinical | Current |
Accepting new patients |
Locations
6530 Secor Rd
Ste 10
Lambertville, MI 48144
Phone (419) 260-3637
6530 Secor Rd
Lambertville, MI 48144
3975 S Custer Rd
Monroe, MI 48161
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 680110260 | MI | Yes |
Addresses
Primary practice location
6530 Secor Rd Ste 10
Lambertville, MI 48144-9456
Mailing address
104 Beachwalk TRL
Luna Pier, MI 48157-9400
Phone (419) 309-8564
Other providers in Lambertville, MI
- Pamela Mae Bush
- Thomasene Byers
- Lisa Calcamuggio
- Thomas Joseph Calloway
- Eric Alan Carter
- Travis Childress
- Kelly Nicole Chisholm
- Christian Care Connection LLC
- Citadel Health Equipment Corp.
- Andrew Leon Clark
All providers in Lambertville, MI · Clinical Social Worker in Michigan
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 21, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.