Tara Keel, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C014226 Issued in NC

Practice address

301 S McDowell St Ste 125-1443
Charlotte, NC 28204-2623

Phone

(910) 317-3456

Fax

(704) 275-9915

NPI assigned

Jun 25, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in NC

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

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• QC Wellness Collective, PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Charlotte, NC
  • NPI 1942905575
  Medicare reassignment NPD

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

{
    "created_epoch": "1561420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673481600000",
    "number": "1093376691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1443",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "704-425-1273",
            "fax_number": "704-275-9915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 S MCDOWELL ST STE 125-1443",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282042623",
            "telephone_number": "910-317-3456",
            "fax_number": "704-275-9915"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5855 Executive Center Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282128896",
            "country_code": "US",
            "telephone_number": "910-317-3456",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEL",
        "first_name": "TARA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-06-25",
        "last_updated": "2023-01-12",
        "certification_date": "2023-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C014226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Smita Kedlaya
• Ebony Carter Kee, NNP-BC
• Gillian M Kee, LCSW
• Nathan Keefer, MD
• Brandy J Keel, IDD QP
• Timothy David Keeler, MD
• Maiya Keeling, ACSM RCEP, NBC-WHC
• Aaliyah Nicole Keels, MD
• Keen Vision Partners, LLC
• Taylor Keen, NP

• Clinical Social Worker in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.