Individual provider Active NPI

Nicole Margrit-Ann Keesee, LCSW

  • Clinical Social Worker
  • Washington, DC
National Provider Identifier
1164688487
Registry record updated Aug 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
849-C Issued in AR
Practice address
2400 Army Pentagon Drive
Daar-MD
Washington, DC 20310-2400
Phone
(703) 601-0692
Fax
(703) 601-0801
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2008

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 849-C AR Primary

Addresses

Primary practice location

2400 Army Pentagon Drive
Daar-MD
Washington, DC 20310-2400

Mailing address

1200 North Veitch Streer
Apt 404
Arlington, VA 22201-7059
Phone (703) 601-0692

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
849-CARMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1217980800000",
    "number": "1164688487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 NORTH VEITCH STREER",
            "address_2": "APT 404",
            "city": "ARLINGTON",
            "state": "VA",
            "postal_code": "222017059",
            "telephone_number": "703-601-0692",
            "fax_number": "703-601-0801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2400 ARMY PENTAGON DRIVE",
            "address_2": "DAAR-MD",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "203102400",
            "telephone_number": "703-601-0692",
            "fax_number": "703-601-0801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEESEE",
        "first_name": "NICOLE",
        "middle_name": "MARGRIT-ANN",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2008-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AR",
            "license": "849-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Washington, DC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2008; 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.