Myron Edward Ketter, LCSW
Social Worker, Clinical in Blairsville, GA. Individual provider (NPI-1).
NPI number1306015656
StatusActive
Last updated in NPPESFeb 10, 2020
Details
- NPI
- 1306015656
- Entity type
- Individual (NPI-1)
- Name
- Myron Edward Ketter
- Credential
- LCSW
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Feb 20, 2008
- Certification date
- Feb 10, 2020
- Last updated
- Feb 10, 2020
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - CLINICAL SOCIAL WORKER
- Can order and refer
- Part B Yes · DME Yes · Home health No · Power mobility No · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 005368 | GA | Yes |
| 1041C0700X | Social Worker, Clinical | 10957 | SC | |
| 1041C0700X | Social Worker, Clinical | SW 8551 | FL |
Practice location
98 Cleveland St Ste CBlairsville, GA 30512-3564
Phone 706-994-5360 · Fax 706-237-2571
Mailing address
98 Cleveland St Ste CBlairsville, GA 30512-3564
Phone 706-994-5360 · Fax 706-237-2571
Other practice locations
2413 Highway 76
Hiawassee, GA 30546-2116
Hiawassee, GA 30546-2116
Phone 706-994-5360
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 6 Clinical Social Worker providers in Blairsville · All 462 providers in Blairsville
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