DODIE KEITH – Counselor, NPI 1841504685

DODIE KEITH is a healthcare provider. based in Tulsa, Oklahoma. specializing in CLINICAL SOCIAL WORKER. They hold a License No. 5861 (OK). The NPI Number for DODIE KEITH is 1841504685

Main info

Female
23 Years Of Experience
Accepts Medicare Assignment
Name
DODIE KEITH
NPI
1841504685
Phone
(918) 499-4855
Address
6502 S YALE AVE STE 3410
Enumeration Date
4 August 2010
Last Update Date
14 April 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9186659500
Graduation Year
2003 (23 years ago)
PAC ID
7012251762
Group Practice PAC ID
3375832157
Professional Enrollment ID
I20181206001044
Address ID
OK741321856TU7127XAVEX401
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience59
Completeness85
Years active:15State licenses:1Digital endpointsOther names

628 CLINICAL SOCIAL WORKER in OK

Provider Addresses for DODIE KEITH

  • 6502 S YALE AVE STE 3410

    TULSA, OK 741368329

    Phone: (918) 499-4855

    Fax: (918) 488-6098

    Type: Mailing

  • 735 N FOREMAN ST

    VINITA, OK 743011422

    Phone: (918) 256-9201

    Fax: (918) 256-9205

    Type: Location

  • 36488 S HIGHWAY 82

    VINITA, OK 743017438

    Phone: (918) 919-9529

    Fax: (918) 542-7778

    Type: Mailing

  • 33 C STREET NORTHEAST

    MIAMI, OK 74354

    Phone: (918) 540-1563

    Fax: (918) 542-7778

    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: 2018-12-06

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
I20181206001044IClinical Social WorkerOKTBD

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 74136)

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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: 3375832157View full group profile
NameSpecialtyState
Clinical Social WorkerOK
Physician AssistantOK
Nurse PractitionerOK
Nurse PractitionerOK
Internal Medicine, Pediatric MedicineOK
Hospitalist, Internal Medicine, Internal MedicineTX
Nurse PractitionerOK
-KS
Clinical Social WorkerOK
Nurse PractitionerOK

Reviews

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Frequently asked questions

How do payers reference DODIE KEITH?
For DODIE KEITH, use NPI 1841504685 as the unique 10-digit identifier.
Would DODIE KEITH appear as active to a payer?
You can treat DODIE KEITH as active for directory purposes; confirm clinical privileges separately.
What area of care is associated with DODIE KEITH?
DODIE KEITH's record emphasizes Counselor. Clinical services aligned with this taxonomy classification.
What practice footprint exists for DODIE KEITH?
Travel planning: use Tulsa, Oklahoma as the reference point for DODIE KEITH, then confirm.
What does 4 location(s) imply?
4 practice locations appear in the available data.

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