Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
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Courtney Tierra Keith, LCSW111075

Individual provider Clinical Social Worker · NPI 1770093452

Courtney Tierra Keith, LCSW111075 is a Clinical Social Worker in San Diego, California. Licensed in California, North Carolina, Ohio and Texas. Registered with an NPI since 2017.

Licensed in
CA, NC, OH, TX
In the registry since
2017
Specialties on file
4
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Practice location Address checks out

5060 Shoreham Pl Ste 330
San Diego, CA 92122-5976
Phone: (619) 866-0998
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 120004 (CA)
Clinical Social Worker Taxonomy 1041C0700X · Licence 111075 (TX)
Clinical Social Worker Taxonomy 1041C0700X · Licence S.1500130 (OH)
Clinical Social Worker Taxonomy 1041C0700X · Licence C013689 (NC)

Record details

NPI number1770093452
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW111075
Sole proprietorNo
NPI enumeratedOctober 6, 2017
Last updated in NPPESFebruary 14, 2025
Certification dateFebruary 14, 2025

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients19
Services billed 35 a service is one billed item, such as a visit, a test or a procedure
Average patient age74

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

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