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Deactivated NPI 1790776433 Deactivated / Inactive NPI Female Practitioner

Katinka A Keith , LISW

Social Worker - Clinical • Waterloo, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Katinka Keith has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date November 02, 2005
NPI Deactivation Date April 23, 2026
Total Practice Duration ~21 Years of Practice (2005 – 2026)

Professional Overview & Biography Verified Profile Summary

Katinka Keith, LISW was a registered Social Worker - Clinical practicing in Waterloo, IA. Throughout an active medical career spanning 21 years, Katinka Keith provided care at the practice location at 2055 KIMBALL AVE until profile deactivation on 2026-04-23.

Historical Medicare Part B clinical services included psychotherapy, psychiatric diagnostic evaluation. Public procedure reimbursement records and service volume details are provided below for historical transparency.

Practice Location & Contact Primary Location

Practice Address

2055 Kimball Ave
Suite 100

Waterloo, IA 507025014

Telephone 3192722112
Fax 3192722107
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Social Worker - Clinical in Waterloo, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 15.4 Yrs
State Avg: 18.0 Yrs
Regional Practice Density
79 Specialists

Practicing in Waterloo, IA (2231 Statewide)

Telehealth Adoption Rate
5.1% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
78.1% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Performed Procedures & Service Volume

Top Medicare Part B procedures performed by this practitioner

CMS Official Data (2024)
Reporting Year:
HCPCS Code & Description Services Patients Submitted Charge Medicare Allowed
90837 Psychotherapy, 60 minutes
43 19 $397.32 $96.05
90834 Psychotherapy, 45 minutes
38 13 $272.58 $65.09
90791 Psychiatric diagnostic evaluation
32 32 $550.55 $106.34

Medical Specialties & State Licenses

Social Worker - Clinical Primary Specialty

NUCC Taxonomy Code: 1041C0700X

State License IA 00745

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

40 Associated Practitioners
Dr. Kurtis Lucas , MD

Family Medicine

NPI 1003267147

Doctor of Medicine (M.D.)

NPI 1013915750

Doctor of Medicine (M.D.)

Dr. Manpreet Gill , MD

Family Medicine

NPI 1023425659

Doctor of Medicine (M.D.)

Dr. Emily Pursley , MD

Family Medicine

NPI 1033777610

Doctor of Medicine (M.D.)

Dr. Shamim Khan , MD

Family Medicine

NPI 1073035549

Doctor of Medicine (M.D.)

NPI 1073510715

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated April 23, 2026

Record deactivated on April 23, 2026

NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 2055 KIMBALL AVE, SUITE 100, WATERLOO, IA 507025014 (Tel: 3192722112)

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Updated Business Mailing Address July 08, 2007

Registered at 2055 KIMBALL AVE, SUITE 100, WATERLOO, IA 507025014 (Tel: 3192722112)

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Provider Name / Credentials Updated July 08, 2007

Recorded as KATINKA KEITH, LISW

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Social Worker (License #00745 in IA)

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Initial NPI Registration & Enumeration November 02, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1790776433
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 02, 2005
Last Update: July 08, 2007
Deactivation Date: April 23, 2026

Mailing Address

2055 Kimball Ave, Suite 100

Waterloo, IA 507025014

Phone: 3192722112

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.