Individual provider Active NPI

Cherie M Keating, LMSW

  • Clinical Social Worker
  • Lowell, MI
National Provider Identifier
1922359710
Registry record updated Apr 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801092296 Issued in MI
Practice address
4956 Deerhaven Park Dr
Lowell, MI 49331-8792
Phone
(616) 970-3258
NPI assigned
Sep 20, 2012
Last updated
Apr 25, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801092296 MI Primary

Addresses

Primary practice location

4956 Deerhaven Park Dr
Lowell, MI 49331-8792

Mailing address

4956 Deerhaven Park Dr
Lowell, MI 49331-8792
Phone (616) 970-3258

Other practice location 1

3282 Clear Vista Ct NE
Grand Rapids, MI 49525-9766
Phone (616) 970-3258

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801092296MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
CMK Counseling, PLLC Clinical CurrentSince Apr 28, 2024 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Dec 10, 2014 Accepting new patients
Pine Rest Christian Mental Health Services CurrentSince Dec 10, 2014 Accepting new patients

Locations

1870 Leonard St NE
Grand Rapids, MI 49505
Phone (616) 956-1122

3737 Lake Eastbrook Blvd SE
Ste 110
Grand Rapids, MI 49546

300 68th St SE
Wyoming, MI 49548
Phone (616) 455-5000

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1348099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1922359710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4956 DEERHAVEN PARK DR",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318792",
            "telephone_number": "616-970-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4956 DEERHAVEN PARK DR",
            "city": "LOWELL",
            "state": "MI",
            "postal_code": "493318792",
            "telephone_number": "616-970-3258"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3282 Clear Vista Ct NE",
            "address_purpose": "LOCATION",
            "city": "Grand Rapids",
            "state": "MI",
            "postal_code": "495259766",
            "country_code": "US",
            "telephone_number": "616-970-3258",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEATING",
        "first_name": "CHERIE",
        "middle_name": "M",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-20",
        "last_updated": "2024-04-25",
        "certification_date": "2024-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092296",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lowell, MI

Sources for this page

Verify at the official NPI Registry.