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KEISHA LYNNE BROYLES LCSW-C
NPI 1689806929
Social Worker - Clinical in Halethorpe, MD

Active since August 20, 2009PECOS Enrolled
5626 SOUTHWESTERN BLVD STE C, HALETHORPE, MD 21227(443) 267-7775(443) 327-4751 Get Directions Write a Review

NPPES record last updated: August 16, 2023. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Aug 16, 2023, Mar 15, 2021 (2 updates tracked since 2021).

About Keisha Lynne Broyles Lcsw-c NPPES

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

KEISHA LYNNE BROYLES LCSW-C (NPI 1689806929) is an individual clinical provider in Halethorpe, Maryland, licensed in Maryland (14585) and active in the NPI registry since August 2009. She is enrolled in Medicare PECOS and maintains a secondary practice location in Largo.

NPPES Registry Identity

NPI1689806929
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameKEISHA LYNNE BROYLESCredential: LCSW-C
Location Address5626 SOUTHWESTERN BLVD STE CHalethorpe, MD 21227-3921
Mailing Address5626 Southwestern Blvd Ste CHalethorpe, MD 21227-3921 · (443) 267-7775
Phone(443) 267-7775
Fax(443) 327-4751
Sole ProprietorYes
Enumeration DateAugust 20, 2009
Last NPPES UpdateAugust 16, 20232 updates tracked since enumeration
NPPES CertifiedAugust 16, 2023
✔ NPI 1689806929 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 14585
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.
5626 SOUTHWESTERN BLVD STE C, Halethorpe, MD 21227
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Secondary Practice Location 1

Location 11300 Mercantile Ln Ste 129-53Largo, MD 20774-5327 · Phone (443) 267-7775 · Fax (443) 327-4751

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Priority Health.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keisha Lynne Broyles Lcsw-c 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.

Medicare Billing Reassignment

Medicare enrollment records show Keisha Broyles reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Mental Health Specialty Group PA
255 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Maryland enrollment
  • 71 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21227 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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 Keisha Broyles's NPI number?

The NPI number for Keisha Broyles is 1689806929. It was assigned to this individual provider in the NPPES registry on August 20, 2009.

Where is Keisha Broyles located?

Keisha Broyles practices at 5626 Southwestern Blvd Ste C, Halethorpe, MD 21227. The listed phone number is (443) 267-7775.

What is Keisha Broyles's specialty?

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

Is Keisha Broyles enrolled in Medicare?

Yes. Keisha Broyles is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Keisha Broyles's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Broyles reassigns Medicare benefits to Mental Health Specialty Group PA (Durham, NC). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keisha Broyles's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisha Broyles accept?

Health plans from Priority Health list Keisha Broyles as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Keisha Broyles was last updated on August 16, 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.