Tarah Keeley, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LC50078751 Issued in DC

Practice address

3814 Livingston St NW
Washington, DC 20015-2803

Phone

(202) 286-1608

NPI assigned

Nov 29, 2021

Last updated

Nov 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in DC

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Cornerstone Montgomery, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Bethesda, MD
  • NPI 1194725739

  DC

  Medicare reassignment NPD
• Cornerstone Montgomery, Inc.

  • Adult Mental Health Clinic/Center
  • Silver Spring, MD
  • NPI 1174995781
  NPD

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

{
    "created_epoch": "1638144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638144000000",
    "number": "1750048526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3814 LIVINGSTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152803",
            "telephone_number": "202-286-1608"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3814 LIVINGSTON ST NW",
            "city": "WASHINGTON",
            "state": "DC",
            "postal_code": "200152803",
            "telephone_number": "202-286-1608"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEELEY",
        "first_name": "TARAH",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-11-29",
        "last_updated": "2021-11-29",
        "certification_date": "2021-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC50078751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "WellspringDMVtherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3814 Livingston St NW",
            "city": "Washington",
            "state": "DC",
            "country_code": "US",
            "postal_code": "200152803",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Alicia Noel Keefe, PT, DPT
• Katherine Frances Keefe, AGACNP
• Madelyn Drew Johnstone Keefe, LICSW
• Jessica Keel
• Angela Keeley, LGSW
• Denise Olivia Keeling
• Brandon N Keels
• Stafford Virgil Keels, D.C.
• Feliz Ofelia Keeme, BHT
• Christina Keen, LICSW

• Clinical Social Worker in Washington, DC
• Providers in Washington, DC by specialty
• Clinical Social Worker in District of Columbia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.