KEITH FANJOY (NPI# 1659736916) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1659736916 |
Entity Type | Individual |
Full Name | KEITH FANJOY |
Credential | LCSW-C |
Practice Address |
8504 Mapleville Rd Boonsboro MD 21713-1817 |
Practice Telephone | 3017339067 |
Mailing Telephone | 3017339067 |
Enumeration Date | 2015-12-30 |
Last Update Date | 2015-12-30 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041C0700X |
Social Worker Specialization: Clinical |
15063 | MD | Behavioral Health & Social Service Providers |
Street Address |
8504 MAPLEVILLE RD |
City | BOONSBORO |
State | MD |
Zip Code | 21713-1817 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1023164829 | Melissa Ann Phillips | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713 | 2007-01-25 |
1972116143 | Meghan Lindsay Sprague | Nurse Practitioner | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2020-08-28 |
1851918429 | Sally Jornlin | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2020-06-30 |
1528603842 | Krista Lynn Healy Schaefer | Counselor | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2019-11-11 |
1851946891 | Chrystal Marie Dewolf | Counselor | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2019-08-06 |
1164948006 | Mary Bridget Choudhary | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2017-08-22 |
1326581513 | Jack E. Barr Center for Well-being | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-21 |
1417490731 | Courtney Lloyd | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-18 |
1679932354 | San Mar Community Services Inc. | Clinic/Center | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-02-23 |
1922464791 | San Mar Inc | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-01-11 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083241210 | Fahrney-keedy Memorial Home, Inc. | Clinic/Center | 21 Mountain View Drive, Boonsboro, MD 21713 | 2020-03-26 |
1538687157 | Aaron M. Smith | Physical Therapy Assistant | 141 S. Main Street, Boonsboro, MD 21713 | 2017-09-04 |
1659739720 | San Mar Children's Home | Social Worker | 8504 Mapleville Road, Boonsboro, MD 21713 | 2016-02-04 |
1114351624 | Amanda Lindsay Wegh | Physical Therapy Assistant | 141 S Main St., Boonsboro, MD 21713 | 2013-09-03 |
1932388493 | South Mountain Community Health LLC | Nurse Practitioner | 9 Saint Paul St Ste 3, Boonsboro, MD 21713 | 2007-10-31 |
1679796718 | Vivian S Sewell | Counselor | 24 N. Main Street, Boonsboro, MD 21713 | 2007-04-10 |
1801182597 | Kate M Rhodes | Physical Therapist | 141 S Main St, Suite 205, Boonsboro, MD 21713 | 2011-06-22 |
1689703712 | Gordon D Bekedam | Dentist | 112 N Main St, Boonsboro, MD 21713 | 2007-03-05 |
1053813634 | Daniel C. Mceowen Dds, PC | Clinic/Center | 112 N Main St Ste 1, Boonsboro, MD 21713-1063 | 2018-02-28 |
1215394721 | Justin Arvin Haugh | Dentist | 112 N Main St, Boonsboro, MD 21713-1063 | 2016-01-28 |
Find all providers in zip 21713 |
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 |
---|---|---|---|---|
1659739720 | San Mar Children's Home | Social Worker | 8504 Mapleville Road, Boonsboro, MD 21713 | 2016-02-04 |
1023164829 | Melissa Ann Phillips | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713 | 2007-01-25 |
1851918429 | Sally Jornlin | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2020-06-30 |
1164948006 | Mary Bridget Choudhary | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2017-08-22 |
1326581513 | Jack E. Barr Center for Well-being | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-21 |
1417490731 | Courtney Lloyd | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-11-18 |
1922464791 | San Mar Inc | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2016-01-11 |
1427413665 | Jerica Washington | Social Worker | 8504 Mapleville Rd, Boonsboro, MD 21713-1817 | 2015-12-15 |
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1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
1669073201 | Deborah Lynn Dey | Social Worker | 810 Bestgate Rd Ste 400, Annapolis, MD 21401-3033 | 2020-11-02 |
1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
1669072633 | Petals Behavioral LLC | Social Worker | 12623 Epping Rd, Silver Spring, MD 20906-3865 | 2020-10-29 |
1972103752 | Tasha Williams | Social Worker | 3025 Woodring Ave, Parkville, MD 21234-7828 | 2020-10-29 |
1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
1841890043 | Juliet Renee Wilson | Social Worker | 1811 Chapel Rd, Havre De Grace, MD 21078-1809 | 2020-10-27 |
1457951618 | Betsy Reinstein Dewey | Social Worker | 4618 Derussey Pkwy, Chevy Chase, MD 20815-5332 | 2020-10-27 |
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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.