Keitha Maureen Austin, LCSW, BCD

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904002555 Issued in VA

Practice address

12725 McManus Blvd
Suite 2G
Newport News, VA 23602-4402

Phone

(757) 874-1676

Fax

(757) 874-2226

NPI assigned

Jul 3, 2005

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Therapy Associates of Denbigh, Inc

  • Mental Health Counselor
  • Newport News, VA
  • NPI 1336220938
  NPD (past)

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

{
    "created_epoch": "1120348800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1200614400000",
    "number": "1417954686",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 KEITH RD",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236061109",
            "telephone_number": "757-223-1020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12725 MCMANUS BLVD",
            "address_2": "SUITE 2G",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236024402",
            "telephone_number": "757-874-1676",
            "fax_number": "757-874-2226"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AUSTIN",
        "first_name": "KEITHA",
        "middle_name": "MAUREEN",
        "name_prefix": "Ms.",
        "credential": "LCSW, BCD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-03",
        "last_updated": "2008-01-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904002555",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1417954686",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Nicholas Audeh, MD
• Auhvee Behavioral Health, LLC
• Jessica Aultice
• Patrick Jamason Aultice, PHARM D
• Arlethia Aurelis, LCSW, LICSW
• Mark Wayne Austin, M.D.
• Autism Therapeutic Services
• Autism Therapeutic Services
• Available Mental Health Services, LLC
• Avent and Huie DDS PLC

• Clinical Social Worker in Newport News, VA
• Providers in Newport News, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2008; 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.