Keeley Danielle Kooken, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007802 Issued in GA

Practice address

511 Cedar Ridge Rd
Monroe, GA 30656-4617

Phone

(404) 663-5758

NPI assigned

Nov 9, 2018

Last updated

Jun 22, 2022By the provider in NPPES

Sex

Female

Sole proprietor

No

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 GA

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

Specialty

Clinical Social Worker

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Keeley Kooken MSW LCSW LLC

  • Clinical Social Worker
  • Monroe, GA
  • NPI 1194464651
  Medicare reassignment Authorized official
• Hixson Counseling Services LLC

  • Professional Counselor
  • Lawrenceville, GA
  • NPI 1528536539
  NPD (past)

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

{
    "created_epoch": "1541721600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1655856000000",
    "number": "1265900070",
    "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": [
        {
            "address_1": "270 W Oak St Ste 2",
            "address_purpose": "LOCATION",
            "city": "Lawrenceville",
            "state": "GA",
            "postal_code": "300464813",
            "country_code": "US",
            "telephone_number": "404-480-2955",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOOKEN",
        "first_name": "KEELEY",
        "middle_name": "DANIELLE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-09",
        "last_updated": "2022-06-22",
        "certification_date": "2022-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Trudy Anthony Kelly, PHARMD
• Karen Khalil, MSN, NP-C
• Asmira Hajric Khashan
• Bryan Thomas Kirkland, MD
• Rebecca Jo Klemsz, PA
• Alexander Kushnier, MD
• Lab Star Medical Laboratories, LLC
• Amber Morgan Lackey, FNP-C
• Cindy Gissel Laing, DO
• Lacy Elizabeth Lally, DNP, FNP-C

• 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 22, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.