Individual provider Active NPI

Kathleen Patricia Keesling, LCSW

  • Clinical Social Worker
  • New Castle, IN
National Provider Identifier
1841784477
Registry record updated May 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34009097A Issued in IN
Practice address
930 N 14TH St
New Castle, IN 47362-4311
Phone
(765) 521-2450
Fax
(765) 593-6001
NPI assigned
Jun 18, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X
Clinical Social Worker 1041C0700X 34009097A IN Primary

Addresses

Primary practice location

930 N 14TH St
New Castle, IN 47362-4311

Mailing address

240 N Tillotson Ave
Muncie, IN 47304-3988
Phone (765) 288-1928

Other practice location 1

1601 Medical Arts Blvd Ste 203
Anderson, IN 46011-3459
Phone (765) 298-5700

Other practice location 2

930 Chestnut Ridge Rd
Morgantown, WV 26505-2807
Phone (304) 293-2411

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN
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
I20210222000991 IN Practitioner - Clinical Social Worker 2769735521 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Meridian Health Services CorpGroup PAC ID 5597679845, 78 clinicians

Practice addresses (Care Compare)

930 N 14TH St
New Castle, IN 47362-4311
Phone (765) 521-2450

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
34009097AINMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Meridian Health Services Corp. CurrentSince May 6, 2024 Accepting new patients
Cleanslate Medical Group of Indiana LLC CurrentSince Aug 1, 2022 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 1, 2021 Accepting new patients
Meridian Health Services Corp CurrentSince May 6, 2024 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Mar 1, 2021 Accepting new patients

Locations

5819 Reliable Pkwy
Chicago, IL 60686

4925 S Scatterfield Rd
Anderson, IN 46013
Phone (765) 442-0402

1601 Medical Arts Blvd
Ste 203
Anderson, IN 46011
Phone (765) 298-4470

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

240 N Tillotson Ave
Muncie, IN 47304

124 E Main St
Muncie, IN 47305
Phone (765) 587-7311

930 N 14th St
New Castle, IN 47362
Phone (317) 741-0300

Interoperability endpoints

  • Direct secure messaging: kathleen.keesling.p1@direct.meridianhs.nextgenshare.com

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1529280000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716422400000",
    "number": "1841784477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "240 N TILLOTSON AVE",
            "city": "MUNCIE",
            "state": "IN",
            "postal_code": "473043988",
            "telephone_number": "765-288-1928",
            "fax_number": "765-741-0335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 N 14TH ST",
            "city": "NEW CASTLE",
            "state": "IN",
            "postal_code": "473624311",
            "telephone_number": "765-521-2450",
            "fax_number": "765-593-6001"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1601 Medical Arts Blvd Ste 203",
            "address_purpose": "LOCATION",
            "city": "Anderson",
            "state": "IN",
            "postal_code": "460113459",
            "country_code": "US",
            "telephone_number": "765-298-5700",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "930 Chestnut Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Morgantown",
            "state": "WV",
            "postal_code": "265052807",
            "country_code": "US",
            "telephone_number": "304-293-2411",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEESLING",
        "first_name": "KATHLEEN",
        "middle_name": "PATRICIA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-18",
        "last_updated": "2024-05-23",
        "certification_date": "2024-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34009097A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Castle, IN

Sources for this page

Verify at the official NPI Registry.