DEBRA ANN KERSCHBAUM (LLMSW) – Clinical Social Worker, NPI 1285140954

DEBRA ANN KERSCHBAUM (LLMSW) is a healthcare provider. based in Saint joseph, Michigan. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LLMSW. They hold a License No. 6801096096 (MI). The NPI Number for DEBRA ANN KERSCHBAUM (LLMSW) is 1285140954

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
DEBRA ANN KERSCHBAUM (LLMSW)
NPI
1285140954
Phone
(269) 429-5180
Address
4730 SCOTTDALE RD
Enumeration Date
18 December 2017
Last Update Date
18 December 2017

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2699341611
Graduation Year
2013 (13 years ago)
PAC ID
8325559131
Group Practice PAC ID
0345223707
Professional Enrollment ID
I20250618001925
Address ID
MI490225711BE1485XMXXX201
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:8State licenses:1Digital endpointsOther names

4,821 CLINICAL SOCIAL WORKER in MI

Provider Addresses for DEBRA ANN KERSCHBAUM (LLMSW)

  • 4730 SCOTTDALE RD

    SAINT JOSEPH, MI 490859317

    Phone: (269) 429-5180

    Mailing address matches the actual address.

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: 2025-06-18

PECOS data refreshed: 2026-05-27

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
I20250618001925IClinical Social WorkerMITBD

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 49085)

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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: 0345223707View full group profile
NameSpecialtyState
-MI
Occupational Therapist In Private PracticeMI
Nurse PractitionerMI
Clinical Social WorkerMI
-MI
Nurse PractitionerMI
Mental Health CounselorMI
Clinical Social WorkerIN
Clinical Social WorkerMI
Nurse PractitionerMI

Reviews

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Frequently asked questions

What is the 10-digit NPI for DEBRA ANN KERSCHBAUM (LLMSW)?
DEBRA ANN KERSCHBAUM (LLMSW) — NPI 1285140954 — is the standard way to identify this listing.
Does CMS list DEBRA ANN KERSCHBAUM (LLMSW) as active?
Yes — DEBRA ANN KERSCHBAUM (LLMSW) is active in the NPI listing used on this page.
What healthcare role does DEBRA ANN KERSCHBAUM (LLMSW) hold?
Scheduling teams often label DEBRA ANN KERSCHBAUM (LLMSW) under Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect DEBRA ANN KERSCHBAUM (LLMSW) on a map?
Expect Saint Joseph, Michigan as a primary anchor for DEBRA ANN KERSCHBAUM (LLMSW) unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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