Individual provider Active NPI

Melissa M Keem, LMSW

  • School Social Worker
  • Tonawanda, NY
National Provider Identifier
1780347005
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
School Social WorkerTaxonomy code 1041S0200X
License
113872 Issued in NY
Practice address
600 Fletcher St
Tonawanda, NY 14150-3616
Phone
(716) 694-7660
NPI assigned
Oct 14, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
School Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041S0200X 113872 NY Primary

Addresses

Primary practice location

600 Fletcher St
Tonawanda, NY 14150-3616

Mailing address

600 Fletcher St
Tonawanda, NY 14150-3616
Phone (716) 694-7660

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address mkeem@tonacsd.org

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
113872NYMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1634169600000",
    "number": "1780347005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 FLETCHER ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503616",
            "telephone_number": "716-694-7660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 FLETCHER ST",
            "city": "TONAWANDA",
            "state": "NY",
            "postal_code": "141503616",
            "telephone_number": "716-694-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEM",
        "first_name": "MELISSA",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041S0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, School",
            "state": "NY",
            "license": "113872",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "mkeem@tonacsd.org",
            "affiliation": "N",
            "address_1": "600 Fletcher St",
            "city": "Tonawanda",
            "state": "NY",
            "country_code": "US",
            "postal_code": "141503616",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tonawanda, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.