MS. MICHELLE K KEATING (LCSW) – Clinical Social Worker, NPI 1104283639

MS. MICHELLE K KEATING (LCSW) is a healthcare provider. based in Villas, New Jersey. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LCSW. They hold a License No. 44SC05648500 (NJ). The NPI Number for MS. MICHELLE K KEATING (LCSW) is 1104283639

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
MS. MICHELLE K KEATING (LCSW)
NPI
1104283639
Phone
(609) 886-8666
Address
899 BAYSHORE RD
Enumeration Date
28 January 2016
Last Update Date
6 March 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6097416363
Graduation Year
2009 (17 years ago)
PAC ID
1759665920
Group Practice PAC ID
8224351606
Professional Enrollment ID
I20170307001943
Address ID
NJ082421608RI1076XSXXX400
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience44
Completeness75
Years active:10State licenses:1Digital endpointsOther names

2,724 CLINICAL SOCIAL WORKER in NJ

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Provider Addresses for MS. MICHELLE K KEATING (LCSW)

  • Bayshore Road, North Highlands Beach, Villas, Lower Township, Cape May County, New Jersey, 08251, United States

    VILLAS, NJ 082512780

    Phone: (609) 886-8666

    Fax: (609) 886-9666

    Type: Mailing

  • 1076 RT. 47 SOUTH

    RIO GRANDE, NJ 08242

    Phone: (609) 741-6363

    Fax: (609) 939-4450

    Type: Mailing

  • 1076 RT 47 SOUTH

    RIO GRANDE, NJ 08242

    Phone: (609) 741-6363

    Fax: (609) 939-4450

    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: 2017-03-07

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
I20170307001943IClinical Social WorkerNJTBD

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 08251)

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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: 8224351606View full group profile
NameSpecialtyState
Mental Health CounselorNJ
Nurse PractitionerNJ
Clinical Social WorkerNJ
Nurse PractitionerPA
-NJ

Reviews

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Frequently asked questions

What is the standard ID for MS. MICHELLE K KEATING (LCSW) in the U.S.?
In the U.S., MS. MICHELLE K KEATING (LCSW) is identified by NPI 1104283639.
Does the public listing show MS. MICHELLE K KEATING (LCSW) as active?
MS. MICHELLE K KEATING (LCSW)'s NPI record reflects an active status in NPPES.
How should patients interpret MS. MICHELLE K KEATING (LCSW)'s specialty?
The extract shows Clinical Social Worker for MS. MICHELLE K KEATING (LCSW). Clinical services aligned with this taxonomy classification.
What geographic area is tied to MS. MICHELLE K KEATING (LCSW)?
MS. MICHELLE K KEATING (LCSW) is associated with Villas, New Jersey in the same public data insurers reference.
Can I export MS. MICHELLE K KEATING (LCSW)'s record?
You can download the official NPPES record; we summarize key fields for readability.

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