Barbara Keezell, PC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

105296 Issued in MA

Legal business name

BARBARA KEEZELL, PC

Practice address

1415 Beacon St
Room 302
Brookline, MA 02446-4816

Phone

(617) 730-9400

NPI assigned

Jan 25, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Barbara Keezell, LICSWNPI 1770638975

Title

President

Phone

(617) 730-9400

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Barbara Keezell, LICSW

  • Clinical Social Worker
  • Brookline, MA
  • NPI 1770638975
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1169683200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1518012707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "ROOM 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-730-9400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 BEACON ST",
            "address_2": "ROOM 302",
            "city": "BROOKLINE",
            "state": "MA",
            "postal_code": "024464816",
            "telephone_number": "617-730-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BARBARA KEEZELL, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEEZELL",
        "authorized_official_first_name": "BARBARA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "617-730-9400",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LICSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "105296",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSSBLUE SHIELD",
            "identifier": "PO3843",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kevin M Ban, M.D.
• Orit Bar-on
• Nitai Bar
• Rodrigo Barahona, PSYA D LMHC LADC-1
• Aliaa Barakat, PHD, MS
• Corey Barber-Bockelman
• Elizabeth K. Barcewicz
• Elizabeth E Barch
• Eugene Bark, DMD
• Carol Catlin Barnes, MA LMHC

• Clinical Social Worker in Brookline, MA
• Providers in Brookline, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.