Keena Pace, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

35964 Issued in TX

Practice address

256 Bearclaw Cir
Aledo, TX 76008-1198

Phone

(214) 732-3713

NPI assigned

Jul 29, 2016

Last updated

Aug 2, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1469750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1470096000000",
    "number": "1417400011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MANOR CT N",
            "city": "WILLOW PARK",
            "state": "TX",
            "postal_code": "760873002",
            "telephone_number": "817-522-8263",
            "fax_number": "817-441-1916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "256 BEARCLAW CIR",
            "city": "ALEDO",
            "state": "TX",
            "postal_code": "760081198",
            "telephone_number": "214-732-3713"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACE",
        "first_name": "KEENA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-07-29",
        "last_updated": "2016-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "35964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kayla Northcutt, RN
• Janet R O'Donnell
• Cathy Ann Oja
• Michael Donovan Olsen, M.A. MFT
• Cheryl Oswalt, LCSW
• Michelle Parker, D.C.
• Lauren Elizabeth Pate, PT, DPT
• Kaley Lauren Pelfrey, MSAT, ATC, LAT
• John Lee Pena, DPT
• Amanda M Pendleton, AUD, CCC-A

• Clinical Social Worker in Aledo, TX
• Providers in Aledo, TX by specialty
• Clinical Social Worker in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.