Megan Keen, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC10135 Issued in ME

Practice address

3611 S Harbor Blvd Ste 100
Santa Ana, CA 92704-7915

Phone

(909) 792-0747

Fax

(909) 792-1057

NPI assigned

Oct 23, 2006

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 identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Maine Behavioral Healthcare

  • Community/Behavioral Health Agency
  • Portland, ME
  • NPI 1962422964
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1401321600000",
    "number": "1598848673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3611 S HARBOR BLVD STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047915",
            "telephone_number": "909-792-0747",
            "fax_number": "909-792-1057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3611 S HARBOR BLVD STE 100",
            "city": "SANTA ANA",
            "state": "CA",
            "postal_code": "927047915",
            "telephone_number": "909-792-0747",
            "fax_number": "909-792-1057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEN",
        "first_name": "MEGAN",
        "name_prefix": "Dr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-23",
        "last_updated": "2014-05-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "ME",
            "license": "LC10135",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "LC10135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "431973999",
            "state": "ME"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Keeyan Kazemian, BEHAVIOR ANALYST
• Elvira Kazic
• Jasmin Itzel Kazmierczak
• Robin D Keeble, MPH
• Nicole Marie Keefe, LCSW
• Dean Keenan, PT, DPT
• Susan A Keisner, MD
• Donald H Keith, C.A.T.C.
• James Keith, LCSW
• Shakan Eric Keith, RN

• Clinical Social Worker in Santa Ana, CA
• Providers in Santa Ana, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 2014; 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.