Individual provider Active NPI

Jane Keady, LMSW/LGSW

  • Social Worker
  • Alexandria, VA
National Provider Identifier
1679257851
Registry record updated Oct 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
0903004349 Issued in VA
Practice address
211 N Union St Ste 100
Alexandria, VA 22314-2643
Phone
(703) 718-6844
Fax
(877) 447-1027
NPI assigned
Jun 9, 2023
Last updated
Oct 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X LG200002858 DC
Social Worker 104100000X 0903004349 VA Primary
Social Worker 104100000X 32173 MD

Addresses

Primary practice location

211 N Union St Ste 100
Alexandria, VA 22314-2643

Mailing address

211 N Union St Ste 100
Alexandria, VA 22314-2643
Phone (703) 718-6844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LG200002858DCMDSocial Worker
32173MDMDSocial Worker
0903004349VAMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1686268800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728950400000",
    "number": "1679257851",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 N UNION ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142643",
            "telephone_number": "703-718-6844",
            "fax_number": "877-447-1027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 N UNION ST STE 100",
            "city": "ALEXANDRIA",
            "state": "VA",
            "postal_code": "223142643",
            "telephone_number": "703-718-6844",
            "fax_number": "877-447-1027"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEADY",
        "first_name": "JANE",
        "credential": "LMSW/LGSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-06-09",
        "last_updated": "2024-10-15",
        "certification_date": "2024-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "DC",
            "license": "LG200002858",
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0903004349",
            "primary": true
        },
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "MD",
            "license": "32173",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alexandria, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2024; 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.