Active NPI
Keith Edward Niager, L.C.S.W.
- Clinical Social Worker
- Savannah, GA
National Provider Identifier
1710044425
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW000973
- Practice address
- 1 Oglethorpe Professional Blvd
Suite 205
Savannah, GA 31406 - Phone
- (912) 352-7638
- Fax
- (912) 352-7492
- NPI assigned
- Jan 2, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LCSW000973 | GA | Primary |
Addresses
Primary practice location
1 Oglethorpe Professional Blvd
Suite 205
Savannah, GA 31406
Mailing address
PO Box 16830
Savannah, GA 31416-3530
Phone (912) 352-7638
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00753244A | Medicaid | GA |
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW000973 | GA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167696000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362960000000",
"number": "1710044425",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 16830",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314163530",
"telephone_number": "912-352-7638",
"fax_number": "912-352-7492"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 OGLETHORPE PROFESSIONAL BLVD",
"address_2": "SUITE 205",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "31406",
"telephone_number": "912-352-7638",
"fax_number": "912-352-7492"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NIAGER",
"first_name": "KEITH",
"middle_name": "EDWARD",
"name_prefix": "Mr.",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-02",
"last_updated": "2013-03-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "LCSW000973",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00753244A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.