Individual provider Active NPI

Lawrence Keating

  • Social Worker
  • Smithtown, NY
National Provider Identifier
1437211471
Registry record updated Apr 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
R041337-1 Issued in NY
Practice address
22 Lawrence Ave
Suite 211
Smithtown, NY 11787-3619
Phone
(631) 360-2223
Fax
(631) 360-2288
NPI assigned
Dec 15, 2006
Last updated
Apr 3, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X R041337-1 NY Primary

Addresses

Primary practice location

22 Lawrence Ave
Suite 211
Smithtown, NY 11787-3619

Mailing address

22 Lawrence Ave
Suite 211
Smithtown, NY 11787-3619
Phone (631) 360-2223

Other identifiers 1

IdentifierTypeStateIssuer
02553437MedicaidNY

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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

Enrollment IDStateProvider typePAC IDDetails
I20040312000456 NY Practitioner - Clinical Social Worker 3173412632 Reassigns benefits to 1 organization
Practice locations: Smithtown, NY

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

496 Smithtown Byp
Suite 202
Smithtown, NY 11787-5011
Phone (631) 360-2223

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
R041337-1NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Transitions Counseling Services LCSW PLLC CurrentSince Jan 1, 2024 Accepting new patients

Locations

22 Lawrence Ave
Ste 211
Smithtown, NY 11787
Phone (631) 360-2223

496 Smithtown Byp
Ste 202
Smithtown, NY 11787
Phone (631) 360-2223

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1166140800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712102400000",
    "number": "1437211471",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 LAWRENCE AVE",
            "address_2": "SUITE 211",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873619",
            "telephone_number": "631-360-2223",
            "fax_number": "631-360-2288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 LAWRENCE AVE",
            "address_2": "SUITE 211",
            "city": "SMITHTOWN",
            "state": "NY",
            "postal_code": "117873619",
            "telephone_number": "631-360-2223",
            "fax_number": "631-360-2288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEATING",
        "first_name": "LAWRENCE",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-15",
        "last_updated": "2024-04-03",
        "certification_date": "2024-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "R041337-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "02553437",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithtown, NY

Sources for this page

Verify at the official NPI Registry.