Individual provider Active NPI

Rosemary Keating, MLSW

  • Clinical Social Worker
  • Dayton, OH
National Provider Identifier
1073020814
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
S.1802094 Issued in OH
Practice address
1564 Emmons Ave
Dayton, OH 45410-3315
Phone
(937) 581-8311
NPI assigned
Jan 2, 2018
Last updated
Nov 10, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X S.1802094 OH Primary

Addresses

Primary practice location

1564 Emmons Ave
Dayton, OH 45410-3315

Mailing address

1564 Emmons Ave
Dayton, OH 45410-3315
Phone (937) 581-8311

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250731003345 OH Practitioner - Clinical Social Worker 7113435231 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
S.1802094OHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hearthstone Psychology LLC CurrentSince Jun 18, 2025 Accepting new patients
Miami Valley Tutoring Services, LTD. PastSince Nov 1, 2013 Accepting new patients

Locations

3085 Woodman Dr
Ste 240
Kettering, OH 45420
Phone (937) 266-5006

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1514851200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1073020814",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1564 EMMONS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103315",
            "telephone_number": "937-581-8311"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1564 EMMONS AVE",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454103315",
            "telephone_number": "937-581-8311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "ROSEMARY",
        "credential": "MLSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-02",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1802094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.