Organization Active NPI

Live Empowered, LLC

  • Clinical Social Worker
  • Morris Plains, NJ
National Provider Identifier
1073172425
Registry record updated Jun 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVE EMPOWERED, LLC
Practice address
16 Guilford CT
Morris Plains, NJ 07950-1256
Phone
(973) 775-9058
NPI assigned
Jun 10, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2019

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

Authorized official

Name
Keesha Khepra, LCSWNPI 1912496407
Title
Director
Phone
(973) 775-9058

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

16 Guilford CT
Morris Plains, NJ 07950-1256

Mailing address

16 Guilford CT
Morris Plains, NJ 07950-1256
Phone (973) 775-9058

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1560124800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560124800000",
    "number": "1073172425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16 GUILFORD CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501256",
            "telephone_number": "973-775-9058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 GUILFORD CT",
            "city": "MORRIS PLAINS",
            "state": "NJ",
            "postal_code": "079501256",
            "telephone_number": "973-775-9058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE EMPOWERED, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-10",
        "last_updated": "2019-06-10",
        "status": "A",
        "authorized_official_last_name": "KHEPRA",
        "authorized_official_first_name": "KEESHA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "973-775-9058",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morris Plains, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.