Individual provider Active NPI

Sara McKeon, LMSW

  • Social Worker
  • Brooklyn, NY
National Provider Identifier
1700399318
Registry record updated Nov 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
102310 Issued in NY
Practice address
2435 Harway Ave
Brooklyn, NY 11214-6549
Phone
(718) 946-6000
NPI assigned
Nov 6, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 102310 NY Primary

Addresses

Primary practice location

2435 Harway Ave
Brooklyn, NY 11214-6549

Mailing address

2435 Harway Ave
Brooklyn, NY 11214-6549

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
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
I20220420001839 NY Practitioner - Clinical Social Worker 2163819210 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Nina Ythier LCSW PCGroup PAC ID 7517359193, 5 clinicians

Practice addresses (Care Compare)

118 N 9TH Ave
Apt 2
Mount Vernon, NY 10550-1290
Phone (914) 426-7789

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
102310NYMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Senior Care Therapy LCSW of New York PLLC CurrentSince Mar 1, 2024 Accepting new patients
Lifespire, Inc. CurrentSince Jan 12, 2022 Accepting new patients
Lifespire, Inc. CurrentSince Jan 12, 2022 Accepting new patients

Locations

2719 Hollywood Blvd
Hollywood, FL 33020
Phone (954) 354-2555

21301 Northern Blvd
Fl 2
Bayside, NY 11361
Phone (718) 721-5444

2435 Harway Ave
Brooklyn, NY 11214
Phone (212) 741-0100

16210 Jamaica Ave
Ste 7
Jamaica, NY 11432
Phone (718) 454-2700

159 E 125th St
Fl 2
New York, NY 10035
Phone (212) 360-5600

Organizations & group practices 4

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": "1509926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1509926400000",
    "number": "1700399318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2435 HARWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146549"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2435 HARWAY AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112146549",
            "telephone_number": "718-946-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKEON",
        "first_name": "SARA",
        "name_prefix": "Miss",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-06",
        "last_updated": "2017-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "102310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brooklyn, NY

Sources for this page

Verify at the official NPI Registry.