Individual provider Active NPI

Diana P. Keat, LSW

  • Clinical Social Worker
  • King of Prussia, PA
National Provider Identifier
1467542548
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW009690L Issued in PA
Practice address
700 S Henderson Rd
Suite 302B
King of Prussia, PA 19406-3530
Phone
(610) 265-8355
Fax
(610) 337-0580
NPI assigned
Oct 13, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW009690L PA Primary

Addresses

Primary practice location

700 S Henderson Rd
Suite 302B
King of Prussia, PA 19406-3530

Mailing address

124 Raynham Rd
Merion Station, PA 19066-1736

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20150303001679 PA Practitioner - Clinical Social Worker 0941526297 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mhmo, Inc.Group PAC ID 2163400599, 35 clinicians

Practice addresses (Care Compare)

2250 Hickory Rd
Suite 100
Plymouth Meeting, PA 19462-1047
Phone (610) 825-9400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW009690LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mhmo, Inc. CurrentSince Jan 1, 2016 Accepting new patients

Locations

210 Mall Blvd
Ste 204
King of Prussia, PA 19406
Phone (484) 808-5340

523 Plymouth Rd
Ste 215
Plymouth Mtng, PA 19462
Phone (610) 825-9400

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1160697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467542548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 RAYNHAM RD",
            "city": "MERION STATION",
            "state": "PA",
            "postal_code": "190661736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S HENDERSON RD",
            "address_2": "SUITE 302B",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194063530",
            "telephone_number": "610-265-8355",
            "fax_number": "610-337-0580"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEAT",
        "first_name": "DIANA",
        "middle_name": "P.",
        "name_prefix": "Ms.",
        "credential": "LSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "SW009690L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

Verify at the official NPI Registry.