COURTNEY TIERRA KEITH LCSW 111075
NPI 1770093452
Social Worker - Clinical in San Diego, CA

Q: What is Courtney Keith's NPI number?

The NPI number for Courtney Keith is 1770093452. It was assigned to this individual provider in the NPPES registry on October 6, 2017.

Q: What is Courtney Keith's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Courtney Keith was last updated on February 14, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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 October 06, 2017PECOS Enrolled

100/100

CMS Quality Rating

5060 SHOREHAM PL STE 330, SAN DIEGO, CA 92122(619) 866-0998 Get Directions Write a Review

NPPES record last updated: February 14, 2025. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Feb 14, 2025, Jun 25, 2024, Apr 12, 2022 (3 updates tracked since 2022).

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About Courtney Tierra Keith Lcsw 111075 NPPES

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

COURTNEY TIERRA KEITH LCSW 111075 (NPI 1770093452) is an individual clinical provider in San Diego, California, licensed in California (120004) and active in the NPI registry since October 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1770093452

Entity TypeIndividualFemale

Primary Taxonomy1041C0700X

Provider Legal NameCOURTNEY TIERRA KEITHCredential: LCSW 111075

Location Address5060 SHOREHAM PL STE 330San Diego, CA 92122-5976

Mailing Address189 Wagner St Unit 262Troutman, NC 28166-9627

Phone(619) 866-0998

Sole ProprietorNo

Enumeration DateOctober 6, 2017

Last NPPES UpdateFebruary 14, 20253 updates tracked since enumeration

NPPES CertifiedFebruary 14, 2025

✔ NPI 1770093452 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

Licenses✔ Licensed in CA · 120004✔ Licensed in TX · 111075✔ Licensed in OH · S.1500130✔ Licensed in NC · C013689

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.

5060 SHOREHAM PL STE 330, San Diego, CA 92122

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Baylor Scott and White Health Plan, Blue Cross and Blue Shield of NC, Oscar Health Maintenance Organization of Florida and more.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Courtney Tierra Keith Lcsw 111075 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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 30 minutes 90832

Psychotherapy is a therapeutic interaction or treatment between a trained professional and a patient. In a 30-minute session, the therapist helps you explore feelings, thoughts, and behaviors to better understand yourself and manage life's challenges.

31 services16 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 92122 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 $62.10 – $184.71

Typical copayment $0.00 (range $15.52 – $46.17)

Most-billed visit code NA

Established Patient

$76.87 typical visit price

range $20.62 – $151.42

Typical copayment $19.21 (range $5.15 – $37.85)

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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

100/100

MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program

Scored as part of a group practice

Quality

Improvement Activities

Cost

85.46

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.

SARA ELIZABETH ROYAL PMHNP

Nurse Practitioner (Psychiatric/Mental Health)