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KEITH SCOTT BLACKWELL
NPI 1073229258
Social Worker - Clinical in Jim Thorpe, PA

Active since January 30, 2023PECOS Enrolled
49 W BROADWAY APT 102, JIM THORPE, PA 18229(570) 778-7087 Get Directions Write a Review

NPPES record last updated: January 30, 2023. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Keith Scott Blackwell NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEITH SCOTT BLACKWELL (NPI 1073229258) is an individual clinical provider in Jim Thorpe, Pennsylvania and active in the NPI registry since January 2023. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1073229258
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH SCOTT BLACKWELL
Location Address49 W BROADWAY APT 102Jim Thorpe, PA 18229-1943
Mailing Address49 W Broadway Apt 102Jim Thorpe, PA 18229-1943 · (570) 778-7087
Phone(570) 778-7087
Sole ProprietorNo
Enumeration DateJanuary 30, 2023
NPPES CertifiedJanuary 30, 2023
✔ NPI 1073229258 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
49 W BROADWAY APT 102, Jim Thorpe, PA 18229
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keith Scott Blackwell is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 18229 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keith Blackwell's NPI number?

The NPI number for Keith Blackwell is 1073229258. It was assigned to this individual provider in the NPPES registry on January 30, 2023.

Where is Keith Blackwell located?

Keith Blackwell practices at 49 W Broadway Apt 102, Jim Thorpe, PA 18229. The listed phone number is (570) 778-7087.

What is Keith Blackwell's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Keith Blackwell enrolled in Medicare?

Yes. Keith Blackwell is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Keith Blackwell was last updated on January 30, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.