Andrew M. Keogh Licensed Clincial Social Worker P.C.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

074180 Issued in NY

Legal business name

ANDREW M. KEOGH LICENSED CLINCIAL SOCIAL WORKER P.C.

Practice address

21 Linwood Ave
Williamsville, NY 14221-6501

Phone

(716) 243-8147

Fax

(716) 626-4271

NPI assigned

Jun 9, 2018

Last updated

Jun 9, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Andrew Keogh, LCSWNPI 1447444211

Title

President

Phone

(716) 868-8654

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Andrew Keogh

  • Clinical Social Worker
  • Williamsville, NY
  • NPI 1447444211
  Authorized official Same address or phone

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

{
    "created_epoch": "1528502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528502400000",
    "number": "1740773266",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "673 MOORE AVE",
            "city": "BUFFALO",
            "state": "NY",
            "postal_code": "142231803",
            "telephone_number": "716-868-8654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 LINWOOD AVE",
            "city": "WILLIAMSVILLE",
            "state": "NY",
            "postal_code": "142216501",
            "telephone_number": "716-243-8147",
            "fax_number": "716-626-4271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANDREW M. KEOGH LICENSED CLINCIAL SOCIAL WORKER P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-09",
        "last_updated": "2018-06-09",
        "status": "A",
        "authorized_official_last_name": "KEOGH",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "716-868-8654",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NY",
            "license": "074180",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1447444211",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mark E Anderson, PT
• Ruth Ando, RN
• Renee A Andreeff, PHYSICIAN ASSISTANT
• Melanie Andres, PA-C
• Andrew J. Siedlecki, M.D., PC (Siedlecki Cataract and Vision Care)
• Andrew P. Giacobbe, M.D., P.C.
• Andrianette Gordon DDS PLLC
• Molly Andriantsoa
• Donna Marie Andrzejewski
• Angel M. Russo, PH.D., PLLC

• Community/Behavioral Health Agency in Williamsville, NY
• Providers in Williamsville, NY by specialty
• Community/Behavioral Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2018; 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.