Active NPI
Donna Keaveney, LCSW-C
- Clinical Social Worker
- Perry Hall, MD
National Provider Identifier
1083950232
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 10225
- Practice address
- 5125 E Joppa Rd
Perry Hall, MD 21128-9317 - Phone
- (410) 569-9497
- Fax
- (410) 569-0094
- NPI assigned
- Dec 17, 2012
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10225 | MD | Primary |
Addresses
Primary practice location
5125 E Joppa Rd
Perry Hall, MD 21128-9317
Mailing address
2227 Old Emmorton Rd
Suite 119
Bel Air, MD 21015-6187
Phone (410) 569-9497
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10225 | MD | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Care Group at Safe Harbor | Clinical | Past | Accepting new patients |
| Safe Harbor Christian Counseling | Clinical | Past | Accepting new patients |
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1355702400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355702400000",
"number": "1083950232",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2227 OLD EMMORTON RD",
"address_2": "SUITE 119",
"city": "BEL AIR",
"state": "MD",
"postal_code": "210156187",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5125 E JOPPA RD",
"city": "PERRY HALL",
"state": "MD",
"postal_code": "211289317",
"telephone_number": "410-569-9497",
"fax_number": "410-569-0094"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEAVENEY",
"first_name": "DONNA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-12-17",
"last_updated": "2012-12-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "10225",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Perry Hall, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.