Keeley Kooken MSW LCSW LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

KEELEY KOOKEN MSW LCSW LLC

Practice address

511 Cedar Ridge Rd
Monroe, GA 30656-4617

Phone

(404) 663-5758

NPI assigned

Jun 2, 2022

Organization subpart

No

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

Authorized official

Name

Keeley Kooken, LCSWNPI 1265900070

Title

Owner

Phone

(404) 663-5758

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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

• Keeley Danielle Kooken, LCSW

  • Clinical Social Worker
  • Monroe, GA
  • NPI 1265900070
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1654128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1194464651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 CEDAR RIDGE RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564617",
            "telephone_number": "404-663-5758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 CEDAR RIDGE RD",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306564617",
            "telephone_number": "404-663-5758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEELEY KOOKEN MSW LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-02",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "KOOKEN",
        "authorized_official_first_name": "KEELEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-663-5758",
        "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": []
}

• Journey Together Therapy Services, LLC
• K.C. Rameshm MD,P.C.
• Farhana Kaderin
• Pooja H Kalaria, PT
• Rita Safowaa Karikari-Prempeh
• Lia Quinn Kelly, PT, DPT
• Trudy Anthony Kelly, PHARMD
• Karen Khalil, MSN, NP-C
• Asmira Hajric Khashan
• Bryan Thomas Kirkland, MD

• Clinical Social Worker in Monroe, GA
• Providers in Monroe, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.