TANYA MCKEITHEN (LCSW) – Clinical Social Worker, NPI 1821378696

TANYA MCKEITHEN (LCSW) is a healthcare provider. based in Pine bluff, Arkansas. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 0904006290 (VA). The NPI Number for TANYA MCKEITHEN (LCSW) is 1821378696

Main info

Female
31 Years Of Experience
Accepts Medicare Assignment
Name
TANYA MCKEITHEN (LCSW)
NPI
1821378696
Phone
(870) 534-1834
Address
2500 Rike Dr
Enumeration Date
24 August 2011
Last Update Date
17 December 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8705341834
Graduation Year
1995 (31 years ago)
PAC ID
3678897824
Group Practice PAC ID
0042292674
Professional Enrollment ID
I20260114000550
Address ID
AR716033937PI2500XDRXX300
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness85
Years active:14State licenses:1Digital endpointsOther names

698 CLINICAL SOCIAL WORKER in AR

Provider Addresses for TANYA MCKEITHEN (LCSW)

  • 2500 Rike Dr

    Pine Bluff, AR 716033937

    Phone: (870) 534-1834

    Fax: (870) 534-5798

    Type: Location

  • PO BOX 35229

    NORTH CHESTERFIELD, VA 232350229

    Phone: (804) 592-4751

    Fax: (804) 592-4752

    Type: Mailing

  • 8014 MIDLOTHIAN TPKE

    SUITE 200-A

    NORTH CHESTERFIELD, VA 232355291

    Phone: (804) 592-4751

    Fax: (804) 592-4752

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2026-01-14

PECOS data refreshed: 2026-06-15

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20260114000550IClinical Social WorkerARTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 71603)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0042292674View full group profile
NameSpecialtyState
P S Y C H I A T R YAR
Clinical Social WorkerAR
Clinical Social WorkerAR
Clinical Social WorkerAR
-AR
-AR
-AR
Clinical Social WorkerAR
Clinical Social WorkerAR
Nurse PractitionerAR

Reviews

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Frequently asked questions

What unique ID ties claims to TANYA MCKEITHEN (LCSW)?
NPI 1821378696 is assigned to TANYA MCKEITHEN (LCSW) under the national enumeration system.
Does this profile mean TANYA MCKEITHEN (LCSW) is currently active?
Yes — TANYA MCKEITHEN (LCSW) appears active in the national provider directory.
Does TANYA MCKEITHEN (LCSW) list a primary specialty?
If you are matching referrals, note Clinical Social Worker for TANYA MCKEITHEN (LCSW). Clinical services aligned with this taxonomy classification.
What location shows for TANYA MCKEITHEN (LCSW)?
We surface Pine Bluff, Arkansas for TANYA MCKEITHEN (LCSW) based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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