Active NPI
Emily Keen, LMSW
- Clinical Social Worker
- Durham, NC
National Provider Identifier
1225481666
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C012619
- Practice address
- 2351 Erwin Rd # Dumc3802
Durham, NC 27705-4699 - Phone
- (919) 684-2477
- NPI assigned
- Jul 21, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW006890 | GA | |
| Clinical Social Worker | 1041C0700X | C012619 | NC | Primary |
Addresses
Primary practice location
2351 Erwin Rd # Dumc3802
Durham, NC 27705-4699
Mailing address
1724 Whirlaway CT
Cary, NC 27519-5405
Phone (248) 245-1811
Other practice location 1
700 Coastal Village Dr
Brunswick, GA 31520-1974
Phone (912) 554-8400
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW006890 | GA | MD | Clinical Social Worker |
| C012619 | NC | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Teladoc Health Medical Group, P.a. | Clinical | Current | Accepting new patients |
Interoperability endpoints
- emilykeen@tdh.allscriptsdirect.net
Organizations & group practices 1
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": "1469059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1609113600000",
"number": "1225481666",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1724 WHIRLAWAY CT",
"city": "CARY",
"state": "NC",
"postal_code": "275195405",
"telephone_number": "248-245-1811"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2351 ERWIN RD # DUMC3802",
"city": "DURHAM",
"state": "NC",
"postal_code": "277054699",
"telephone_number": "919-684-2477"
}
],
"practiceLocations": [
{
"address_1": "700 Coastal Village Dr",
"address_purpose": "LOCATION",
"city": "Brunswick",
"state": "GA",
"postal_code": "315201974",
"country_code": "US",
"telephone_number": "912-554-8400",
"fax_number": "912-265-2683",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEEN",
"first_name": "EMILY",
"credential": "LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-07-21",
"last_updated": "2020-12-28",
"certification_date": "2020-12-28",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW006890",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C012619",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Durham, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.