Individual provider Active NPI

Terance Keenan, LCSW

  • Clinical Social Worker
  • Tallahassee, FL
National Provider Identifier
1730844135
Registry record updated Apr 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW19547 Issued in FL
Practice address
2014 Delta Blvd
Tallahassee, FL 32303-4853
Phone
(850) 597-7833
Fax
(850) 792-8450
NPI assigned
Nov 1, 2021
Last updated
Apr 22, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 22, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW19547 FL Primary

Addresses

Primary practice location

2014 Delta Blvd
Tallahassee, FL 32303-4853

Mailing address

2014 Delta Blvd
Tallahassee, FL 32303-4853
Phone (850) 597-7833

Other practice location 1

78 11th St
Apalachicola, FL 32320-2028
Phone (850) 597-7833

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
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
I20220610000220 FL Practitioner - Clinical Social Worker 5890173462 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gulf Wind Counseling LLCGroup PAC ID 4981082559, 4 clinicians

Practice addresses (Care Compare)

2014 Delta Blvd
Tallahassee, FL 32303-4853
Phone (850) 445-2476

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW19547FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Gulf Wind Counseling LLC Clinical CurrentSince Jan 27, 2022 Accepting new patients

Locations

78 11th St
Ste 3A
Apalachicola, FL 32320

2014 Delta Blvd
Tallahassee, FL 32303
Phone (850) 445-2476

230 John Knox Rd
Ste 1
Tallahassee, FL 32303
Phone (850) 901-9474

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1635724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776816000000",
    "number": "1730844135",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2014 DELTA BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034853",
            "telephone_number": "850-597-7833",
            "fax_number": "850-792-8450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2014 DELTA BLVD",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323034853",
            "telephone_number": "850-597-7833",
            "fax_number": "850-792-8450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "78 11th St",
            "address_purpose": "LOCATION",
            "city": "Apalachicola",
            "state": "FL",
            "postal_code": "323202028",
            "country_code": "US",
            "telephone_number": "850-597-7833",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "TERANCE",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-01",
        "last_updated": "2026-04-22",
        "certification_date": "2026-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW19547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tallahassee, FL

Sources for this page

Verify at the official NPI Registry.