JENNIFER ANNE KEISER (LCSW) – Clinical Social Worker, NPI 1861692741
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
4,821 CLINICAL SOCIAL WORKER in MI
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Provider Addresses for JENNIFER ANNE KEISER (LCSW)
43457, Superior Road, Superior, Portage Township, Houghton County, Michigan, 49931, United States
HOUGHTON, MI 499319770
Phone: (906) 487-7093
Type: Mailing
Memorial Drive, Portage Township, Houghton County, Michigan, 49931, United States
HOUGHTON, MI 49931
Phone: (906) 482-9404
Fax: (906) 487-7713
Type: Location
15411 W WADDELL RD STE 102
PMB#1193
SURPRISE, AZ 853795170
Phone: (623) 377-8397
Type: Mailing
15411 W Waddell Rd Ste 102
Surprise, AZ 853795170
Phone: (623) 377-8397
Type: Location
18527 W Ewers Dr
Surprise, AZ 853743917
Phone: (623) 377-8397
Type: Location
18789 N REEMS RD STE 260
SURPRISE, AZ 853748648
Phone: (623) 377-8397
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: 2024-11-25
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20241125002789 | I | Clinical Social Worker | AZ | TBD |
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.
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 49931)
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