Chrissy Dawn Keefe, MSW LCSWA

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

P018680 Issued in NC

Practice address

1703 Country Club Rd Ste 204
Jacksonville, NC 28546-6098

Phone

(910) 347-3010

Fax

(910) 347-6137

NPI assigned

Apr 6, 2023

Sex

Female

Sole proprietor

Yes

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Clinical Social Worker

Education

Other, 2022

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

La Serenidad PLLCGroup PAC ID 8426423161, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• La Serenidad PLLC

  dba La Serenidad Therapy Services

  • Clinical Social Worker
  • Wilmington, NC
  • NPI 1427707660
  Medicare reassignment Care Compare group
• Carolina Psychological and Psychiatric Health SRVS, PA

  dba Carolina Psychological Health Services

  • Psychologist
  • Jacksonville, NC
  • NPI 1770561193

  Professional

  NPD
• Resolutions Counseling and Mediation Services, PLLC

  • Clinical Social Worker
  • Jacksonville, NC
  • NPI 1982868501
  NPD (past)

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

{
    "created_epoch": "1680739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696550400000",
    "number": "1619662681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD STE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466098",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-6137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1703 COUNTRY CLUB RD STE 204",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466098",
            "telephone_number": "910-347-3010",
            "fax_number": "910-347-6137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "CHRISSY",
        "middle_name": "DAWN",
        "credential": "MSW LCSWA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-04-06",
        "last_updated": "2023-10-06",
        "certification_date": "2023-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "P018680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Lynn Karle, FNP-BC
• Melissa Katsanos, RN
• Santosh Katuwal
• Linda Gay Kayye, N.P.
• Paul Thomas Kayye, M.D.
• Keefer Chiropractic Center, a Professional Corporation (Keefer Chiropractic)
• Sean Michael Keefer, D.C.
• Tracy Ann Keefer, D.C.
• Loretta Busby Keelin, LCSW
• Genna Lynn Kelkenberg, PHARMD

• Clinical Social Worker in Jacksonville, NC
• Providers in Jacksonville, NC by specialty
• Clinical Social Worker in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.