Individual provider Active NPI

Jaime Lee Keel, LCSW

  • Clinical Social Worker
  • Syracuse, NY
National Provider Identifier
1689081671
Registry record updated May 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
088719 Issued in NY
Practice address
6820 Thompson Rd
Syracuse, NY 13211-1321
Phone
(315) 433-2296
Fax
(315) 431-8437
NPI assigned
Jul 22, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 14, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 092308 NY
Clinical Social Worker 1041C0700X 088719 NY Primary

Addresses

Primary practice location

6820 Thompson Rd
Syracuse, NY 13211-1321

Mailing address

246 Harding St
Syracuse, NY 13208-2407
Phone (914) 384-5363

Other practice location 1

246 Harding St
Syracuse, NY 13208-2407
Phone (914) 384-5363

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
092308NYMDSocial Worker
088719NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Onondaga County Comptrollers Office PastSince Sep 29, 2019 Accepting new patients

Organizations & group practices 1

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": "1405987200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620950400000",
    "number": "1689081671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "246 HARDING ST",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132082407",
            "telephone_number": "914-384-5363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6820 THOMPSON RD",
            "city": "SYRACUSE",
            "state": "NY",
            "postal_code": "132111321",
            "telephone_number": "315-433-2296",
            "fax_number": "315-431-8437"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "246 Harding St",
            "address_purpose": "LOCATION",
            "city": "Syracuse",
            "state": "NY",
            "postal_code": "132082407",
            "country_code": "US",
            "telephone_number": "914-384-5363",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEEL",
        "first_name": "JAIME",
        "middle_name": "LEE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-07-22",
        "last_updated": "2021-05-14",
        "certification_date": "2021-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "092308",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "088719",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Syracuse, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2021; 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.