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KEITH JORDAN LCSW
NPI 1992248850
Social Worker - Clinical in Lagrangeville, NY

Active since November 28, 2016PECOS EnrolledAccepts Medicare Assignment
1131 ROUTE 55, LAGRANGEVILLE, NY 12540(845) 345-8956 Get Directions Write a Review

NPPES record last updated: November 28, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Keith Jordan Lcsw NPPES

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

KEITH JORDAN LCSW (NPI 1992248850) is an individual clinical provider in Lagrangeville, New York, licensed in New York (040539) and active in the NPI registry since November 2016. He is enrolled in Medicare PECOS and is a graduate of Other (1989).

NPPES Registry Identity

NPI1992248850
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameKEITH JORDANCredential: LCSW
Location Address1131 ROUTE 55Lagrangeville, NY 12540-5054
Mailing Address1 Summit AvePoughkeepsie, NY 12601-1409 · (845) 345-8956
Phone(845) 345-8956
Sole ProprietorYes
Medical School CMSOtherGraduated 1989
Enumeration DateNovember 28, 2016
✔ NPI 1992248850 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 NY · 040539
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.
1131 ROUTE 55, Lagrangeville, NY 12540
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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 Jordan Lcsw 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 ID4688927338
PECOS Enrollment IDI20181025001543
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 Reassignments

3

Medicare enrollment records show Keith Jordan reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Wendy Keller, Lcsw, LLC
16 mi
Clinical
633 GIDNEY AVE, SUITE 2
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1982992889 (845) 242-8375
Psyprobill, LLC
16 mi
Community/Behavioral Health
633 GIDNEY AVE, SUITE 5
Newburgh, NY 12550
  • Reassigned Medicare billing, New York enrollment
  • 12 clinicians in this Medicare group
NPI 1184076358 (845) 569-2900
Putnam Family And Community Services Inc
19 mi
Mental Health
1808 ROUTE 6
Carmel, NY 10512
  • Reassigned Medicare billing, New York enrollment
  • 26 clinicians in this Medicare group
NPI 1497737167 (845) 225-2700

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 12540 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 $61.88 – $187.05
Typical copayment $0.00 (range $15.47 – $46.76)
Most-billed visit code NA
Established Patient
$76.88 typical visit price
range $19.92 – $151.94
Typical copayment $19.22 (range $4.98 – $37.98)
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.

Other Providers at the Same Location NPPES 3

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

BLOOM. CREATIVE ARTS THERAPY SERVICES PLLC
Art Therapist
1131 ROUTE 55
LAGRANGEVILLE, NY 12540
Dutchess County (914) 487-9600
HILARY JOYCE LUTTINGER PSYD
Psychologist (Clinical)
1131 ROUTE 55, STE 1D
LAGRANGEVILLE, NY 12540
Dutchess County (845) 913-5513
TARREN PAGONES LCAT, LPC, LMHC
Art Therapist
1131 ROUTE 55
LAGRANGEVILLE, NY 12540
Dutchess County (914) 487-9600

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 Jordan's NPI number?

The NPI number for Keith Jordan is 1992248850. It was assigned to this individual provider in the NPPES registry on November 28, 2016.

Where is Keith Jordan located?

Keith Jordan practices at 1131 Route 55, Lagrangeville, NY 12540. The listed phone number is (845) 345-8956.

What is Keith Jordan's specialty?

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

Is Keith Jordan enrolled in Medicare?

Yes. Keith Jordan 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 organizations bill Medicare for Keith Jordan's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keith Jordan reassigns Medicare benefits to 3 organizations: Wendy Keller, Lcsw, LLC (Newburgh, NY), Psyprobill, LLC (Newburgh, NY) and Putnam Family And Community Services Inc (Carmel, NY). Each 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 Jordan'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 Jordan was last updated on November 28, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.