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MRS. KEISHA RANAE CARROLL LMSW
NPI 1891167581
Social Worker in Cheboygan, MI

Active since October 21, 2015PECOS Enrolled
440 GARFIELD AVE, CHEBOYGAN, MI 49721(989) 733-6927 Get Directions Write a Review

NPPES record last updated: February 2, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Mrs. Keisha Ranae Carroll Lmsw NPPES

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

MRS. KEISHA RANAE CARROLL LMSW (NPI 1891167581) is an individual social worker in Cheboygan, Michigan, licensed in Michigan (6801097792) and active in the NPI registry since October 2015. She is enrolled in Medicare PECOS and maintains a secondary practice location in Mackinaw City.

NPPES Registry Identity

NPI1891167581
Entity TypeIndividualFemale
Primary Taxonomy104100000X
Provider Legal NameMRS. KEISHA RANAE CARROLLCredential: LMSW
Location Address440 GARFIELD AVECheboygan, MI 49721-2011
Mailing Address7290 Fisher Woods RdIndian River, MI 49749-9304 · (517) 442-4521
Phone(989) 733-6927
Sole ProprietorNo
Enumeration DateOctober 21, 2015
Last NPPES UpdateFebruary 2, 2026
NPPES CertifiedFebruary 2, 2026
✔ NPI 1891167581 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 MI · 6801097792
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.
440 GARFIELD AVE, Cheboygan, MI 49721
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Other Names 1

Former Name (1)Keisha Ranae Rondo

Secondary Practice Location 1

Location 1609 W Central AveMackinaw City, MI 49701-9650 · Phone (989) 733-6927

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)

Mrs. Keisha Ranae Carroll Lmsw 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 Carroll reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Thunder Bay Community Health Service, Inc
23 mi
Federally Qualified Health Center (FQHC)
4549 M 33
Onaway, MI 49765
  • Reassigned Medicare billing, Michigan enrollment
  • 57 clinicians in this Medicare group
NPI 1821228958 (989) 733-4980

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

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

THUNDER BAY COMMUNITY HEALTH SERVICE, INC
Clinic/Center (Federally Qualified Health Center (FQHC))
440 GARFIELD AVE
CHEBOYGAN, MI 49721
Cheboygan County (231) 627-5211

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 Carroll's NPI number?

The NPI number for Keisha Carroll is 1891167581. It was assigned to this individual provider in the NPPES registry on October 21, 2015. The provider is also known as Keisha Ranae Rondo.

Where is Keisha Carroll located?

Keisha Carroll practices at 440 Garfield Ave, Cheboygan, MI 49721. The listed phone number is (989) 733-6927.

What is Keisha Carroll's specialty?

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

Is Keisha Carroll enrolled in Medicare?

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

Which organization bills Medicare for Keisha Carroll's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keisha Carroll reassigns Medicare benefits to Thunder Bay Community Health Service, Inc (Onaway, MI). 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 Carroll's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Keisha Carroll accept?

Health plans from Priority Health list Keisha Carroll 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 Carroll was last updated on February 2, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.