Active NPI
Keisha Ranae Carroll, LMSW
- Social Worker
- Cheboygan, MI
National Provider Identifier
1891167581
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 6801097792
- Practice address
- 440 Garfield Ave
Cheboygan, MI 49721-2011 - Phone
- (989) 733-6927
- NPI assigned
- Oct 21, 2015
- Last updated
- Feb 2, 2026
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801097792 | MI | Primary |
Addresses
Primary practice location
440 Garfield Ave
Cheboygan, MI 49721-2011
Mailing address
7290 Fisher Woods Rd
Indian River, MI 49749-9304
Phone (517) 442-4521
Other practice location 1
609 W Central Ave
Mackinaw City, MI 49701-9650
Phone (989) 733-6927
Other names 1
- Keisha Ranae Rondo
Medicare participation
Medicare enrollment files- 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Organizations & group practices 1
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.
-
- Federally Qualified Health Center (FQHC)
- Hillman, MI
- NPI 1629107552
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445385600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769990400000",
"number": "1891167581",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7290 FISHER WOODS RD",
"city": "INDIAN RIVER",
"state": "MI",
"postal_code": "497499304",
"telephone_number": "517-442-4521"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "440 GARFIELD AVE",
"city": "CHEBOYGAN",
"state": "MI",
"postal_code": "497212011",
"telephone_number": "989-733-6927"
}
],
"practiceLocations": [
{
"address_1": "609 W Central Ave",
"address_purpose": "LOCATION",
"city": "Mackinaw City",
"state": "MI",
"postal_code": "497019650",
"country_code": "US",
"telephone_number": "989-733-6927",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "CARROLL",
"first_name": "KEISHA",
"middle_name": "RANAE",
"name_prefix": "Mrs.",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-21",
"last_updated": "2026-02-02",
"certification_date": "2026-02-02",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801097792",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KEISHA",
"last_name": "RONDO",
"middle_name": "RANAE",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cheboygan, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 2, 2026; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.