Keith Jordan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

040539 Issued in NY

Practice address

1131 Route 55
Lagrangeville, NY 12540-5054

Phone

(845) 345-8956

NPI assigned

Nov 28, 2016

Last updated

Nov 28, 2016By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NY

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, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Wendy Keller, LCSW, LLCGroup PAC ID 7810169646, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Wendy Keller, LCSW, LLC

  dba Behavioral Health Services of the Hudson Valley

  • Clinical Social Worker
  • Newburgh, NY
  • NPI 1982992889
  Medicare reassignment Care Compare group NPD
• Psyprobill, LLC

  dba Behavioral Health Management Services

  • Community/Behavioral Health Agency
  • Newburgh, NY
  • NPI 1184076358
  Medicare reassignment NPD
• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Health Counselor
  • Carmel, NY
  • NPI 1497737167
  Medicare reassignment NPD
• Putnam Family and Community Services Inc

  dba CoveCare Center

  • Mental Illness Community Based Residential Treatment Facility
  • Carmel, NY
  • NPI 1972458545
  NPD (past)

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1992248850",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 SUMMIT AVE",
            "city": "POUGHKEEPSIE",
            "state": "NY",
            "postal_code": "126011409",
            "telephone_number": "845-345-8956"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1131 ROUTE 55",
            "city": "LAGRANGEVILLE",
            "state": "NY",
            "postal_code": "125405054",
            "telephone_number": "845-345-8956"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "KEITH",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "040539",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hudson Valley Radiologists, PC
• Hudson Valley Radiologists, PC
• Hudson Valley Spine Care (Spagnola Chiropractic)
• Mary S. Jakubek, R.N.
• Joint Replacement Cin of Hudson Valley LLC
• Julie L. Gasparri, M.S.Ed., CCC-SLP, PLLC
• Sarah Sue Kehl, LPN
• Loren C Kelly, M.S.
• Miranda L Kennedy, D.C.
• Kim Raffaelli Mental Health Counseling, PLLC (Legacy Mental Health Counseling)

• Clinical Social Worker in Lagrangeville, NY
• Providers in Lagrangeville, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; 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.