Individual provider Active NPI

Barbara Keefe, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1790709244
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1028181 Issued in MA
Practice address
386 W Broadway
2ND Floor Counseling Dept
Boston, MA 02127-2215
Phone
(617) 464-5875
Fax
(617) 464-5878
NPI assigned
Jul 27, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1028181 MA Primary

Addresses

Primary practice location

386 W Broadway
2ND Floor Counseling Dept
Boston, MA 02127-2215

Mailing address

386 W Broadway
2ND Floor Counseling Dept
Boston, MA 02127-2215
Phone (617) 464-5875

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

LicenseStateTypeSpecialty
1028181MAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1790709244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "386 W BROADWAY",
            "address_2": "2ND FLOOR COUNSELING DEPT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272215",
            "telephone_number": "617-464-5875",
            "fax_number": "617-464-5878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "386 W BROADWAY",
            "address_2": "2ND FLOOR COUNSELING DEPT",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021272215",
            "telephone_number": "617-464-5875",
            "fax_number": "617-464-5878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEEFE",
        "first_name": "BARBARA",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-27",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1028181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.