Individual provider Active NPI

Anne Hope Keyes, LCSW

  • Clinical Social Worker
  • Little Neck, NY
National Provider Identifier
1497881072
Registry record updated Jan 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
R0490831 Issued in NY
Practice address
5628 Marathon Pkwy Apt 1J
Little Neck, NY 11362-2005
Phone
(718) 614-2818
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2024

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 R0490831 NY Primary

Addresses

Primary practice location

5628 Marathon Pkwy Apt 1J
Little Neck, NY 11362-2005

Mailing address

5628 Marathon Pkwy Apt 1J
Little Neck, NY 11362-2005
Phone (718) 614-2818

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R0490831NYMDClinical Social Worker
049083NYMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Long Island Consultation Center PastSince Aug 15, 2021 Accepting new patients
Long Island Consultation Center, Inc. Clinical PastSince Sep 2, 2003 Accepting new patients

Interoperability endpoints

  • FHIR API: https://api.qualifacts.org/api/fhir/liccnewyorkcity/r4/

Organizations & group practices 2

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": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704412800000",
    "number": "1497881072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5628 MARATHON PKWY APT 1J",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622005",
            "telephone_number": "718-614-2818"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5628 MARATHON PKWY APT 1J",
            "city": "LITTLE NECK",
            "state": "NY",
            "postal_code": "113622005",
            "telephone_number": "718-614-2818"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEYES",
        "first_name": "ANNE",
        "middle_name": "HOPE",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2024-01-05",
        "certification_date": "2024-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0490831",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Neck, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.