Richard James McKeown, LICSW, LADCI

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1016602 Issued in MA

Practice address

39 Glendale Rd
Southampton, MA 01073-9445

Phone

(413) 658-5245

NPI assigned

Jan 20, 2007

Last updated

Oct 24, 2015By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1169251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1445644800000",
    "number": "1184777211",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "39 GLENDALE RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739445",
            "telephone_number": "413-658-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "39 GLENDALE RD",
            "city": "SOUTHAMPTON",
            "state": "MA",
            "postal_code": "010739445",
            "telephone_number": "413-658-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEOWN",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "credential": "LICSW, LADCI",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-20",
        "last_updated": "2015-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016602",
            "primary": true
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "758",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS PROVIDER NUMBER",
            "identifier": "PO4769",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mariana Dedeus Haughey, DDS
• Kelly Bado, O.D.
• Andrew Henry Kowal, RPH
• Nora Lemelin, OTR/L
• Dana M Litturi, D.M.D.
• Erin N Menard-Johnston, DPT
• Omar Natour, PHARMD
• Julia Nedry, LICSW
• New England Holistic Psychiatric PLLC
• Erik Pardee

• Clinical Social Worker in Southampton, MA
• Providers in Southampton, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2015; 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.