MRS. ERICA KEITH (LMSW) – Clinical Social Worker, NPI 1679021240

MRS. ERICA KEITH (LMSW) is a healthcare provider. based in Temperance, Michigan. specializing in Clinical Social Worker. They hold the professional credentials LMSW. They hold a License No. 6801095524 (MI). The NPI Number for MRS. ERICA KEITH (LMSW) is 1679021240

Main info

Female
13 Years Of Experience
Accepts Medicare Assignment
Name
MRS. ERICA KEITH (LMSW)
NPI
1679021240
Phone
(734) 847-3802
Address
8765 LEWIS AVE
Enumeration Date
13 September 2016
Last Update Date
19 March 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7348473802
Graduation Year
2013 (13 years ago)
PAC ID
2860780145
Group Practice PAC ID
2769575653
Professional Enrollment ID
I20161019002849
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience42
Completeness75
Years active:9State licenses:1Digital endpointsOther names

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Provider Addresses for MRS. ERICA KEITH (LMSW)

  • Family Medical Center of Michigan, 8765, Lewis Avenue, Temperance, Bedford Township, Monroe County, Michigan, 48182, United States

    TEMPERANCE, MI 481829583

    Phone: (734) 847-3802

    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: 2016-10-19

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
I20161019002849IClinical 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 48182)

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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: 2769575653View full group profile
NameSpecialtyState
Mental Health CounselorMI
-MI
Family PracticeMI
Clinical Social WorkerMI
Nurse PractitionerHI
Clinical Social WorkerMI
Family PracticeOH
Family PracticeOH
Family PracticeMI
Mental Health CounselorMI

Reviews

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Frequently asked questions

Can I cross-check MRS. ERICA KEITH (LMSW) using NPI 1679021240?
NPI 1679021240 belongs to MRS. ERICA KEITH (LMSW); compare other details if you need extra assurance.
Is MRS. ERICA KEITH (LMSW) still an active registrant?
MRS. ERICA KEITH (LMSW) carries an active NPI according to the public dataset.
How would a patient describe MRS. ERICA KEITH (LMSW)'s focus?
For MRS. ERICA KEITH (LMSW), the primary taxonomy reads as Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What practice footprint exists for MRS. ERICA KEITH (LMSW)?
Travel planning: use Temperance, Michigan as the reference point for MRS. ERICA KEITH (LMSW), then confirm.
Can I trust this NPI listing for MRS. ERICA KEITH (LMSW)?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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