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KEITH WATKINS LMSW
NPI 1720305220
Social Worker in Medford, NY

Active since April 23, 2010PECOS EnrolledAccepts Medicare Assignment
1727 N OCEAN AVE, MEDFORD, NY 11763(631) 654-1919 Get Directions Write a Review

NPPES record last updated: April 23, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Keith Watkins Lmsw NPPES

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

KEITH WATKINS LMSW (NPI 1720305220) is an individual social worker in Medford, New York, licensed in New York (079475-1) and active in the NPI registry since April 2010. He is enrolled in Medicare PECOS and is a graduate of Other (2008).

NPPES Registry Identity

NPI1720305220
Entity TypeIndividualMale
Primary Taxonomy104100000X
Provider Legal NameKEITH WATKINSCredential: LMSW
Location Address1727 N OCEAN AVEMedford, NY 11763-2649
Mailing AddressPo Box 6Brightwaters, NY 11718-0006 · (631) 654-1919
Phone(631) 654-1919
Sole ProprietorNo
Medical School CMSOtherGraduated 2008
Enumeration DateApril 23, 2010
✔ NPI 1720305220 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers
Taxonomy Code104100000X
License✔ Licensed in NY · 079475-1
Definition
A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.
1727 N OCEAN AVE, Medford, NY 11763
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Other Identifiers 1

Other079475-1NY · License #

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Keith Watkins Lmsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID3375858764
PECOS Enrollment IDI20150813011308
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 Keith Watkins reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Catholic Charities Of The Diocese Of Rockville Centre
Same address
Mental Health (Including Community Mental Health Center)
1727 N OCEAN AVE
Medford, NY 11763
  • Reassigned Medicare billing, New York enrollment
  • 27 clinicians in this Medicare group
NPI 1437170537 (631) 654-1919

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COLLEEN M ROBERTS LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JASMINE D MENDOZA RIVERA
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JILLIAN GURBA KORB LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
MARTHA TORRES LCSW
Social Worker (Clinical)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
SIBIMOL NIRAVATH PMHNP-BC
Nurse Practitioner (Psychiatric/Mental Health)
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
REBECCA A AGOSTO
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 578-0652
LAUREN LALCHAND
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919
JUDY JOSEPH LMSW
Social Worker
1727 N OCEAN AVE
MEDFORD, NY 11763
Suffolk County (631) 654-1919

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 Watkins's NPI number?

The NPI number for Keith Watkins is 1720305220. It was assigned to this individual provider in the NPPES registry on April 23, 2010.

Where is Keith Watkins located?

Keith Watkins practices at 1727 N Ocean Ave, Medford, NY 11763. The listed phone number is (631) 654-1919.

What is Keith Watkins's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Keith Watkins enrolled in Medicare?

Yes. Keith Watkins is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Keith Watkins's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Watkins reassigns Medicare benefits to Catholic Charities Of The Diocese Of Rockville Centre (Medford, NY). 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 Keith Watkins's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keith Watkins was last updated on April 23, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.