Active NPI
Mirinda Keane, MSW, LCSW
- Clinical Social Worker
- Silver Spring, MD
National Provider Identifier
1306567417
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28707
- Practice address
- 8630 Fenton St Ste 920
Silver Spring, MD 20910-3810 - Phone
- (240) 338-7818
- NPI assigned
- Sep 7, 2022
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28707 | MD | Primary |
| Clinical Social Worker | 1041C0700X | LC200004176 | DC | |
| Social Worker | 104100000X | 0904018515 | VA |
Addresses
Primary practice location
8630 Fenton St Ste 920
Silver Spring, MD 20910-3810
Mailing address
7500 Greenway Center Dr Ste 203
Greenbelt, MD 20770-3531
Phone (240) 338-7818
Other practice location 1
8280 Willow Oaks Corporate Dr Ste 600
Fairfax, VA 22031-4516
Phone (415) 424-4266
Other practice location 2
16220 Frederick Rd Ste 310
Gaithersburg, MD 20877-4020
Phone (301) 345-1022
Other practice location 3
7474 Greenway Center Dr Ste 730
Greenbelt, MD 20770-3523
Phone (301) 345-1022
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective May 8, 2026 through May 8, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LC200004176 | DC | MD | Clinical Social Worker |
| 0904018515 | VA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1662508800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1758585600000",
"number": "1306567417",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7500 GREENWAY CENTER DR STE 203",
"city": "GREENBELT",
"state": "MD",
"postal_code": "207703531",
"telephone_number": "240-338-7818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8630 FENTON ST STE 920",
"city": "SILVER SPRING",
"state": "MD",
"postal_code": "209103810",
"telephone_number": "240-338-7818"
}
],
"practiceLocations": [
{
"address_1": "8280 Willow Oaks Corporate Dr Ste 600",
"address_purpose": "LOCATION",
"city": "Fairfax",
"state": "VA",
"postal_code": "220314516",
"country_code": "US",
"telephone_number": "415-424-4266",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "16220 Frederick Rd Ste 310",
"address_purpose": "LOCATION",
"city": "Gaithersburg",
"state": "MD",
"postal_code": "208774020",
"country_code": "US",
"telephone_number": "301-345-1022",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7474 Greenway Center Dr Ste 730",
"address_purpose": "LOCATION",
"city": "Greenbelt",
"state": "MD",
"postal_code": "207703523",
"country_code": "US",
"telephone_number": "301-345-1022",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEANE",
"first_name": "MIRINDA",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-07",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "28707",
"primary": true
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "DC",
"license": "LC200004176",
"primary": false
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "VA",
"license": "0904018515",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Silver Spring, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.