Courtney Tierra Keith, LSW S1500130 | |
3737 Lander Rd, Pepper Pike, OH 44124-5712 | |
(216) 831-2255 | |
Not Available |
Full Name | Courtney Tierra Keith |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 6 Years |
Location | 3737 Lander Rd, Pepper Pike, Ohio |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1770093452 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | S.1500130 (Ohio) | Secondary |
1041C0700X | Social Worker - Clinical | C013689 (North Carolina) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Step Up Care Of North Carolina Pc | 4486036878 | 11 |
Entity Name | Monarch |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1801116405 PECOS PAC ID: 0244273852 Enrollment ID: O20050728000103 |
Entity Name | Bmsc Nc Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831611649 PECOS PAC ID: 9739445552 Enrollment ID: O20171113000126 |
Entity Name | Well America Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053074765 PECOS PAC ID: 8628461233 Enrollment ID: O20220203000318 |
Entity Name | Step Up Care Of North Carolina Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1841929395 PECOS PAC ID: 4486036878 Enrollment ID: O20220802000558 |
Entity Name | Brightside Medical Of New Jersey Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1811524754 PECOS PAC ID: 5799141750 Enrollment ID: O20230517000302 |
Mailing Address | Practice Location Address |
---|---|
Courtney Tierra Keith, LSW S1500130 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: () - | Courtney Tierra Keith, LSW S1500130 3737 Lander Rd, Pepper Pike, OH 44124-5712 Ph: (216) 831-2255 |
Mrs. Aminah C. T. Brahim-jimenez, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Jasmine G Jordan, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Kim M Jackson, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mrs. Tracey Roman Mckiernan, LISW-S Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-831-0638 | |
Denise L Green, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Mansi P Ng, LISW-SUPV Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Rd, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 | |
Aria B Honvou, LSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3737 Lander Road, Pepper Pike, OH 44124 Phone: 216-831-2255 Fax: 216-378-3906 |