Active NPI
Nancy G Keith, MS, MSW, LCSW
- Clinical Social Worker
- Greenville, NC
National Provider Identifier
1346594637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C008294
- Practice address
- 2303 Executive Cir
Greenville, NC 27834-3749 - Phone
- (252) 744-8334
- NPI assigned
- Nov 8, 2012
- Sex
- Female
- Sole proprietor
- Yes
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 | P006444 | NC | |
| Clinical Social Worker | 1041C0700X | C008294 | NC | Primary |
Addresses
Primary practice location
2303 Executive Cir
Greenville, NC 27834-3749
Mailing address
600 Lynndale CT Ste F
Greenville, NC 27858-5443
Phone (252) 353-8001
Other practice location 1
600 Lynndale Ct Ste F
Greenville, NC 27858-5443
Phone (252) 353-8001
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| C008294 | NC | MD | Clinical Social Worker |
| P006444 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1567468800000",
"number": "1346594637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "600 LYNNDALE CT STE F",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278585443",
"telephone_number": "252-353-8001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2303 EXECUTIVE CIR",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278343749",
"telephone_number": "252-744-8334"
}
],
"practiceLocations": [
{
"address_1": "600 Lynndale Ct Ste F",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "NC",
"postal_code": "278585443",
"country_code": "US",
"telephone_number": "252-353-8001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEITH",
"first_name": "NANCY",
"middle_name": "G",
"credential": "MS, MSW, LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-11-08",
"last_updated": "2019-09-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P006444",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C008294",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.