Rebecca Keane, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

004543 Issued in GA

Practice address

485 Huntington Rd Ste 197
Athens, GA 30606-1845

Phone

(706) 418-1201

NPI assigned

Oct 24, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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.

• Family Counseling Service of Athens Inc

  • Marriage & Family Therapist
  • Athens, GA
  • NPI 1366526303
  NPD (past)

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

{
    "created_epoch": "1319414400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1568592000000",
    "number": "1609152610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "706-418-1201",
            "fax_number": "706-549-0428"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "485 HUNTINGTON RD STE 197",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306061845",
            "telephone_number": "706-418-1201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEANE",
        "first_name": "REBECCA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-10-24",
        "last_updated": "2019-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "004543",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Ian Katz, MD
• Elizabeth Hoddeson Katz, M.D.
• Ryan M Katz, MD
• Steven Kaye, PHD
• Andrew Alexander Ke, M.D.
• Marsha Keech, CRNA
• Arynne Keeley
• Melia Keeton-Digby
• Rebecca Keipper, MD
• Matthew D Kellar, PT

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2019; 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.