DR. KEITH EDWARD FENDER (NPI# 1568425635) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568425635 |
| Entity Type | Individual |
| Full Name | DR. KEITH EDWARD FENDER |
| Credential | PH.D., LCSW |
| Practice Address |
519 2nd St Radford VA 24141-1403 |
| Practice Telephone | 5406399040 |
| Practice Fax Number | 5406399040 |
| Mailing Telephone | 5406399040 |
| Mailing Fax Number | 5406399040 |
| Enumeration Date | 2006-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
0904004405 | VA | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 8927286 | 05 | |
| VA | TRIGON/ANTHEM BLUE CROSS | 337626 | 01 |
| Street Address |
519 2ND ST |
| City | RADFORD |
| State | VA |
| Zip Code | 24141-1403 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053448878 | Blueridge Counseling Services | Social Worker | 519 2nd St, Radford, VA 24141-1403 | 2007-02-28 |
| 1669527958 | Radford Counseling Group LLC | Social Worker | 519 2nd St, Radford, VA 24141-1403 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952948242 | K -va -t Food Stores Inc | Durable Medical Equipment & Medical Supplies | 1701 Tyler Avenue, Radford, VA 24141 | 2019-12-05 |
| 1922412055 | Jeremy Gronos | Physical Therapist | 600-a East Main Street, Suite A, Radford, VA 24141 | 2014-06-17 |
| 1104188994 | Thu Lenguyen | Occupational Therapy Assistant | 700 Randolph St., Radford, VA 24141 | 2012-06-08 |
| 1316220833 | Susan Ranee' Fisher | Nurse Practitioner | 31 West Main Street, Radford, VA 24141 | 2011-09-21 |
| 1174817571 | Natalie Moore Irvine | Social Worker | 409 A East Main Street, Dublin, VA 24141 | 2011-06-02 |
| 1265628440 | Camelot of Virginia, LLC | Community Based Residential Treatment Facility, Mental Illness | 5978 Belsprings Rd., Radford, VA 24141 | 2007-09-20 |
| 1285762229 | Goodwill Industries of The Valleys - Radford | Day Training, Developmentally Disabled Services | 103 Duncan Lane, Radford, VA 24141 | 2007-03-01 |
| 1154480697 | Kathryn E. Ganhewa | Counselor | 409 East Main St., Suite A, Radford, VA 24141 | 2006-12-08 |
| 1487759957 | Professional Rehab Associates, Inc | Physical Therapist | 1200 Tyler Ave, Radford, VA 24141 | 2006-09-13 |
| 1437183969 | Scott Irwin | Nurse Practitioner | 2900 Lambs Circle Rd, Radford, VA 24141 | 2006-07-10 |
| Find all providers in zip 24141 | ||||
| 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 |
|---|---|---|---|---|
| 1528352762 | Summer Rain Lisanti | Social Worker | 4003 Bains Chapel Rd, Radford, VA 24141-6015 | 2011-06-06 |
| 1740204155 | Rhoda Elena Hurst | Social Worker | 571 Indian Valley Rd Nw, Radford, VA 24141-6809 | 2006-07-27 |
| 1619588142 | Amy Travis | Social Worker | 401 W Main St, Radford, VA 24141-1588 | 2020-08-10 |
| 1386255818 | Laura Thompson | Social Worker | 401 W Main St, Radford, VA 24141-1588 | 2020-08-10 |
| 1033762554 | Lauren Barnett | Social Worker | 401 W Main St, Radford, VA 24141-1588 | 2019-07-23 |
| 1093290223 | Christina Watty | Social Worker | 401 W Main St, Radford, VA 24141-1588 | 2018-10-03 |
| 1164977039 | Stacey Lester | Social Worker | 600 E Main St, Radford, VA 24141-1826 | 2016-08-22 |
| 1437537883 | Spectrum Therapuetic Services, Pllc | Social Worker | 140 E Main St, Radford, VA 24141-1787 | 2015-05-18 |
| 1053448878 | Blueridge Counseling Services | Social Worker | 519 2nd St, Radford, VA 24141-1403 | 2007-02-28 |
| 1669527958 | Radford Counseling Group LLC | Social Worker | 519 2nd St, Radford, VA 24141-1403 | 2007-01-24 |
| Find all providers in RADFORD | ||||
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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.