Organization Active NPI

Jennifer Keena

  • Clinical Social Worker
  • Elk River, MN
National Provider Identifier
1700296936
Registry record updated Apr 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18617 Issued in MN
Legal business name
JENNIFER KEENA
Practice address
948 Proctor Ave NW
Elk River, MN 55330-2417
Phone
(763) 241-3451
NPI assigned
Apr 28, 2014
Last updated
Apr 28, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2014

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

Authorized official

Name
Jennifer Keena
Title
Therapist
Phone
(320) 333-1120

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18617 MN Primary

Addresses

Primary practice location

948 Proctor Ave NW
Elk River, MN 55330-2417

Mailing address

1045 16TH Ave S
Saint Cloud, MN 56301-5235

National Provider Directory

National Provider Directory

Locations

948 Proctor Ave NW
Elk River, MN 55330
Phone (763) 241-3400

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1398643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1398643200000",
    "number": "1700296936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1045 16TH AVE S",
            "city": "SAINT CLOUD",
            "state": "MN",
            "postal_code": "563015235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "948 PROCTOR AVE NW",
            "city": "ELK RIVER",
            "state": "MN",
            "postal_code": "553302417",
            "telephone_number": "763-241-3451"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JENNIFER KEENA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-28",
        "last_updated": "2014-04-28",
        "status": "A",
        "authorized_official_last_name": "KEENA",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "320-333-1120"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "18617",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elk River, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2014; 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.