Raven T. O'Rourke Keohan, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5966 Issued in TN

Practice address

719 Thompson Lane
Suite 37189
Nashville, TN 37204

Phone

(615) 285-9134

NPI assigned

Sep 18, 2013

Last updated

Mar 8, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Raven Taylor O'Rourke Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Feb 1, 2024 through Feb 1, 2028

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1379462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1477989713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 SOUTH MOUNT JULIET ROAD SUITE 235",
            "address_2": "#170",
            "city": "MT. JULIET",
            "state": "TN",
            "postal_code": "371223616",
            "telephone_number": "615-285-9134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "719 THOMPSON LANE",
            "address_2": "SUITE 37189",
            "city": "NASHVILLE",
            "state": "TN",
            "postal_code": "37204",
            "telephone_number": "615-285-9134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "O'ROURKE KEOHAN",
        "first_name": "RAVEN",
        "middle_name": "T.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-09-18",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "TN",
            "license": "5966",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TN",
            "license": "5966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RAVEN",
            "last_name": "O'ROURKE",
            "middle_name": "TAYLOR",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Casey Lynn O'Quinn, BCBA
• Michelle Weiler O'Quinn, PMHNP-BC
• Christopher Douglas O'Rear, MDIV, MMFT, LCPT
• Alejandra O'Reilly, LVN
• Christopher Gregory O'Reilly, MA
• Brian Andrew O'Shaughnessy, MD
• Colin O'Shea, MD
• Amy Eileen O'Steen, FNP-C
• Jennifer O'Steen
• Clifford Edward O'Sullivan IV, APRN

• Clinical Social Worker in Nashville, TN
• Providers in Nashville, TN by specialty
• Clinical Social Worker in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.