Keinosha Shantez Keaton
Individual provider Active NPI Social Worker · Greenville, SC
NPI 1447411343 · NPPES record last updated Jan 14, 2016
Key facts
- NPI
- 1447411343
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- Practice address
- 22 Pleasant Ridge Ave
Greenville, SC 29605-2112 - Phone
- (214) 601-6208
- NPI assigned
- Jun 23, 2008
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| A Child'S Bright Start | Social Worker | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Yes |
Addresses
Primary practice location
22 Pleasant Ridge Ave
Greenville, SC 29605-2112
Mailing address
22 Pleasant Ridge Ave
Greenville, SC 29605
Phone (214) 601-6208
Other providers in Greenville, SC
- Sandra P Kay
- Haley Kays
- Kci USA, Inc.
- Carolyn Elizabeth Keating
- Sumintra Keating
- Matthew Keaton
- Andrew Keddy
- Jocelyn R Keefer
- Mary Keel
- Keeley Psychiatry of South Carolina, LLC
All providers in Greenville, SC · Social Worker in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 14, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.