Kimberly Keene, LMSW

Primary specialty

Social WorkerTaxonomy code 104100000X

License

125209-01 Issued in NY

Practice address

5100 Highbridge St
Fayetteville, NY 13066-2411

Phone

(315) 400-0661

NPI assigned

Nov 11, 2024

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.

• Cornerstone Herkimer

  • Clinical Social Worker
  • Herkimer, NY
  • NPI 1588100986
  NPD (past)
• Herkimer Cornerstone, LLC

  • Community/Behavioral Health Agency
  • Herkimer, NY
  • NPI 1700318615
  NPD (past)

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

{
    "created_epoch": "1731283200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1779062400000",
    "number": "1639993249",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST APT 28D",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662442",
            "telephone_number": "315-416-8193"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5100 HIGHBRIDGE ST",
            "city": "FAYETTEVILLE",
            "state": "NY",
            "postal_code": "130662411",
            "telephone_number": "315-400-0661"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEENE",
        "first_name": "KIMBERLY",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-11",
        "last_updated": "2026-05-18",
        "certification_date": "2026-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "125209-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christopher Lee Kam
• Danny Kang, D.D.S.
• Robin Gail Kasowitz, LMSW
• Kate S Robinson MD PLLC
• Elaine Kazakis
• Gregory G Kenien, MD
• Megan E Kernan, PT, DPT
• Sarah Elizabeth Keyes, AUD
• Sheryl L Khan, RPA
• Kim Green Occupational Therapy, PC

• Social Worker in Fayetteville, NY
• Providers in Fayetteville, NY by specialty
• Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2026; 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.