THERESA A KEANE (NPI# 1104382969) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104382969 |
| Entity Type | Individual |
| Full Name | THERESA A KEANE |
| Credential | LCSW-R |
| Practice Address |
285 Middle Country Rd # Ll5 Smithtown NY 11787-2978 |
| Practice Telephone | 6317240600 |
| Mailing Telephone | 6317240600 |
| Enumeration Date | 2019-02-18 |
| Last Update Date | 2019-02-18 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
RO52037-1 | NY | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811191414 | Theresa Keane | Psychologist | 185 Green St, Suite 2, Kingston, NY 12401-3716 | 2007-06-14 |
| Street Address |
285 MIDDLE COUNTRY RD # LL5 |
| City | SMITHTOWN |
| State | NY |
| Zip Code | 11787-2978 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558962779 | Gwendolyn Burris | Counselor | 20 Gilbert Avenue, Suite 107-a, Smithtown, NY 11787 | 2020-11-04 |
| 1467051193 | Karin M Caro | Adult Companion | 9 Three Pond Road, Smithtown, NY 11787 | 2020-10-23 |
| 1639706641 | Nimit Khara | Student in an Organized Health Care Education/Training Program | 240 Middle Country Rd A, Smithtown, NY 11787 | 2020-03-27 |
| 1003469032 | Maria Teresa Gardella | Nurse Practitioner | St. Catherine of Siena Medical Center, 50 Ny-25a, Smithtown, NY 11787 | 2019-07-18 |
| 1558922070 | Pamella Ann Grillo | Physician Assistant | 373 Ny-111 #5, Smithtown, NY 11787 | 2019-06-25 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1932663747 | Kayla Roundsman | Counselor | 11 Route 11, Smithtown, NY 11787 | 2019-01-25 |
| 1568959856 | Moreen Johnson | Registered Nurse | Christian Nursing Registry, 17 Bank Ave, Smith Town, NY 11787 | 2018-04-23 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1881117802 | Oisin Vincent Keenan | Case Manager/Care Coordinator | 11 Ny-111, Smithtown, NY 11787 | 2017-07-21 |
| Find all providers in zip 11787 | ||||
| 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 |
|---|---|---|---|---|
| 1760008775 | Telemhealth Inc | Social Worker | 132 Grandview Ln, Smithtown, NY 11787-4264 | 2020-06-25 |
| 1902445810 | Aby George Chacko | Social Worker | 111 New York Ave, Smithtown, NY 11787-3482 | 2019-12-26 |
| 1013551001 | Marianne Halderman | Social Worker | 39 Bayberry Ln, Smithtown, NY 11787-3927 | 2019-11-01 |
| 1306308127 | Sherry Hansen | Social Worker | 285 Middle Country Rd, Suite Ll5, Smithtown, NY 11787 | 2019-04-01 |
| 1770065971 | Lauren Stacie Mccabe Sperber | Social Worker | 20 Gilbert Ave Ste 101, Smithtown, NY 11787-5312 | 2018-09-04 |
| 1316449242 | Melissa G Shikora | Social Worker | 732 Smithtown Byp Ste 304, Smithtown, NY 11787-5020 | 2018-03-07 |
| 1992217871 | Erica Zeller Licensed Clinical Social Work Pllc | Social Worker | 15 Bellemeade Ave Ste 3, Smithtown, NY 11787 | 2017-10-31 |
| 1144767443 | Erica Jean Whitehurst | Social Worker | 30 South Ave, Smithtown, NY 11787-3845 | 2017-01-24 |
| 1104282110 | Thomas E. Conway, Lcsw, P.C. | Social Worker | 1050 W Jericho Tpke, Smithtown, NY 11787-3242 | 2016-01-06 |
| 1942617899 | Caitlin Parzych | Social Worker | 3 Cornell Ct N, Smithtown, NY 11787-3001 | 2014-07-11 |
| Find all providers in SMITHTOWN | ||||
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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.