MS. MARY JOSEPHINE KEENAN (NPI# 1053488262) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053488262 |
| Entity Type | Individual |
| Full Name | MS. MARY JOSEPHINE KEENAN |
| Credential | LMSW, ACSW |
| Practice Address |
71 Walnut Blvd Suite #109 Rochester MI 48307-2073 |
| Practice Telephone | 2486521314 |
| Mailing Telephone | 2486521314 |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
6801087674 | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194926584 | Mary Katherine Keenan | Speech-Language Pathologist | 11574 Longview, Olathe, KS 66061-5678 | 2007-05-31 |
| 1356408447 | Mary Claire Keenan | Social Worker | 30 Burcam Dr, Madison, CT 06443-2242 | 2007-01-02 |
| 1245599356 | Mary Keenan | Technician/Technologist | 681 Tremont St, Boston, MA 02118-1281 | 2012-05-09 |
| 1356613012 | Mary Kathryn Keenan | Physician Assistant | 3701 Lafayette Rd, Evansdale, IA 50707-1129 | 2012-01-27 |
| 1699850420 | Mary Kathleen Keenan | Counselor | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2006-10-27 |
| 1801834452 | Mary Kimble Keenan | Psychologist | 7511 New Lagrange Rd, Louisville, KY 40222-4859 | 2006-06-04 |
| 1063477719 | Mary Bridget Keenan | Social Worker | 150 N Main St, Suite 130, Manchester, CT 06042-2086 | 2006-04-18 |
| Street Address |
71 WALNUT BLVD SUITE #109 |
| City | ROCHESTER |
| State | MI |
| Zip Code | 48307-2073 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336118454 | Jon B Clark | Psychologist | 71 Walnut Blvd, Suite 109, Rochester, MI 48307-2073 | 2006-03-14 |
| 1760718027 | Jane Ann Banas | Counselor | 71 Walnut Blvd, Suite 207, Rochester, MI 48307-2073 | 2009-10-21 |
| 1003901000 | Ross Lyle Flynn | Counselor | 71 Walnut Blvd, Suite 109, Rochester, MI 48307-2073 | 2006-10-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083238851 | Martin Dukaj | Student in an Organized Health Care Education/Training Program | 1101 Walton Blvd, Rochester Hills, MI 48307 | 2020-06-08 |
| 1073151973 | Cynthia Lynn Olekszyk | Dietitian, Registered | 645 Barclay Circle, Rochester Hills, MI 48307 | 2019-12-11 |
| 1326502428 | Jessica Delia | Nurse Practitioner | 1701 E South Boulevard, Suite 290, Rochester Hills, MI 48307 | 2019-01-23 |
| 1528530037 | Kelie Friday | Physical Therapist | 312 Rochester Hills, Dearborn, MI 48307 | 2018-12-21 |
| 1538635883 | Julie Latarewicz | Physical Therapist | Ascension Providence Rochester Hospital, 1101 West University Drive, Rochester, MI 48307 | 2018-10-15 |
| 1891270757 | Leah Marx | Social Worker | 3950 Rochester Rd, Ste 2250, Rochester Hills, MI 48307 | 2018-09-26 |
| 1598256729 | Frederick Alan Bittner | Student in an Organized Health Care Education/Training Program | 1101 W. University Drive, 3 North, Rochester, MI 48307 | 2018-05-23 |
| 1508356346 | Ankita Aggarwal | Student in an Organized Health Care Education/Training Program | Wsu/ascension Crittenton Hospital, 1101 W. University Drive, Rochester, MI 48307 | 2018-05-17 |
| 1619478195 | Michelle Nuccio | Occupational Therapist | 1555 E South Blvd, Rochester Hills, MI 48307 | 2018-02-21 |
| 1265932024 | Stacy Dietlin Linn | Physical Therapist | 1555 E. South Blvd, Suite 120, Rochester Hills, MI 48307 | 2018-02-19 |
| Find all providers in zip 48307 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417562299 | Katelyn Connolly | Social Worker | 1017 33rd St Nw, Rochester, MN 55901-1484 | 2020-09-09 |
| 1427660711 | Annika Peterson | Social Worker | 2632 5th Ave Nw, Rochester, MN 55901-2363 | 2020-08-19 |
| 1649888116 | Michelle Solomou | Social Worker | 61 Evandale Rd, Rochester, NY 14618-3901 | 2020-07-21 |
| 1366067753 | Ashraf Khater | Social Worker | 513 University Park, Rochester, NY 14620-4434 | 2020-06-10 |
| 1770115560 | Diana Lerner | Social Worker | 1441 Clover St, Rochester, NY 14610-3313 | 2020-02-10 |
| 1922639111 | Kristina Maria Washington | Social Worker | 121 Stover Rd, Rochester, NY 14624-4451 | 2020-01-28 |
| 1689210072 | Vanessa Dannielle Peavy | Social Worker | The University of Rochester, 738 Library Rd., Rochester, NY 14627-1462 | 2019-11-21 |
| 1336799972 | Element Psychotherapy LLC | Social Worker | 333 1/2 S Main St Ste B-1, Rochester, MI 48307-2084 | 2019-09-16 |
| 1215586920 | Caswell Vincent Smith | Social Worker | 161 California Dr, Rochester, NY 14616-4209 | 2019-09-05 |
| 1568010163 | Antoinette Palka Gauthier | Social Worker | 115 Lomb Memorial Dr, Rochester, NY 14623-5608 | 2019-08-28 |
| Find all providers in ROCHESTER | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.