Individual provider Active NPI

Allison May Keefer, LISW-S

  • Clinical Social Worker
  • Maumee, OH
National Provider Identifier
1669753018
Registry record updated Apr 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.1450541-SUPV Issued in OH
Practice address
3521 Briarfield Blvd
Maumee, OH 43537-9387
Phone
(419) 794-7259
Fax
(419) 794-7261
NPI assigned
Aug 30, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X I.1450541-SUPV OH Primary

Addresses

Primary practice location

3521 Briarfield Blvd
Maumee, OH 43537-9387

Mailing address

2222 Cherry St Ste 1900
Toledo, OH 43608-2673
Phone (419) 251-3878

Other practice location 1

7435 Berridge Rd
Whitehouse, OH 43571-9348
Phone (419) 251-0070

Other identifiers 1

IdentifierTypeStateIssuer
0213965MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20170413002343 OH Practitioner - Clinical Social Worker 8820374416 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.1450541-SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Pediatric Specialists, LLC CurrentSince Sep 3, 2023 Accepting new patients
Avenues for Autism Clinical PastSince Sep 1, 2022 Accepting new patients

Locations

3521 Briarfield Blvd
Ste C
Maumee, OH 43537
Phone (419) 794-7259

3521 Briarfield Blvd
Maumee, OH 43537
Phone (419) 794-7259

2213 Cherry St
Toledo, OH 43608
Phone (419) 251-4283

2222 Cherry St
Ste 1900
Toledo, OH 43608

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/2229/brand/3/csg/621/fhir/r4
  • FHIR API: https://hkc.nationwidechildrens.org/FHIR/MYCHART/api/FHIR/R4

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1314662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1744588800000",
    "number": "1669753018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2222 CHERRY ST STE 1900",
            "city": "TOLEDO",
            "state": "OH",
            "postal_code": "436082673",
            "telephone_number": "419-251-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3521 BRIARFIELD BLVD",
            "city": "MAUMEE",
            "state": "OH",
            "postal_code": "435379387",
            "telephone_number": "419-794-7259",
            "fax_number": "419-794-7261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7435 Berridge Rd",
            "address_purpose": "LOCATION",
            "city": "Whitehouse",
            "state": "OH",
            "postal_code": "435719348",
            "country_code": "US",
            "telephone_number": "419-251-0070",
            "fax_number": "419-251-0075",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEFER",
        "first_name": "ALLISON",
        "middle_name": "MAY",
        "name_prefix": "Miss",
        "credential": "LISW-S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-30",
        "last_updated": "2025-04-14",
        "certification_date": "2025-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1450541-SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0213965",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Maumee, OH

Sources for this page

Verify at the official NPI Registry.