KEITH WATKINS LMSW
NPI 1720305220
Social Worker in Medford, NY

Q: 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.

Q: What is Keith Watkins's specialty?

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

Q: 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.

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: August 02, 2026.

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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, and ordering and referring status from the CMS PECOS system.

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.

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