Keyana Lichele Love, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

108470 Issued in TX

Practice address

18635 N Eldridge Pkwy Ste 102
Tomball, TX 77377-3063

Phone

(281) 892-9986

NPI assigned

Oct 17, 2024

Sex

Female

Sole proprietor

No

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)

Not enrolled

State licenses

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.

• Shine Medical Providers PC

  • Psychiatry Physician
  • Philadelphia, PA
  • NPI 1538894050
  NPD (past)

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

{
    "created_epoch": "1729123200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1437970043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16738 NEEDLEPOINT DR",
            "city": "CONROE",
            "state": "TX",
            "postal_code": "773022339",
            "telephone_number": "404-402-0012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18635 N ELDRIDGE PKWY STE 102",
            "city": "TOMBALL",
            "state": "TX",
            "postal_code": "773773063",
            "telephone_number": "281-892-9986"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOVE",
        "first_name": "KEYANA",
        "middle_name": "LICHELE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-10-17",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "108470",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kimberley Evans Loken, LCSW
• Morgan Brittany Londenberg, FNP-C
• Samantha Nicole Lopez
• Lorenz Total Wellness Corp
• Lottieworks LLC
• Loving Arms Care LLC
• Bianca Marie Lozano, MS, CCC-SLP
• Jonathan Lu
• Braxton James Lubenow, MAT, ATC
• Ludo Applied Behavior Analysis, PLLC

• Clinical Social Worker in Tomball, TX
• Providers in Tomball, 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 Oct 17, 2024; 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.