O. Keeley Teemsma, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Practice address

159 20TH St Ste 1B
Brooklyn, NY 11232

Phone

(646) 685-4499

Fax

(516) 218-7964

NPI assigned

Apr 23, 2010

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

Other names 1

• Ms. Keeley Teemsma Professional name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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 and National Provider Directory roles.

• Renew Concierge Psychotherapy LCSW PLLC

  • Adult Mental Health Clinic/Center
  • New York, NY
  • NPI 1770235830
  NPD Authorized official

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

{
    "created_epoch": "1271980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1801113345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9281 SHORE RD APT 227",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112096613",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "159 20TH ST STE 1B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11232",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "140 Broadway Fl 46",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100051155",
            "country_code": "US",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "42 Broadway Fl 12",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100043892",
            "country_code": "US",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14 Wall St Fl 20",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100052123",
            "country_code": "US",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "159 20th St Ste 1B",
            "address_purpose": "LOCATION",
            "city": "Brooklyn",
            "state": "NY",
            "postal_code": "11232",
            "country_code": "US",
            "telephone_number": "646-685-4499",
            "fax_number": "516-218-7964",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "TEEMSMA",
        "first_name": "O. KEELEY",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-04-23",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://refreshtherapynyc.clientsecure.me",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "EHR",
            "address_1": "159 20th St Ste 1B",
            "city": "Brooklyn",
            "state": "NY",
            "country_code": "US",
            "postal_code": "11232",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "KEELEY",
            "last_name": "TEEMSMA",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; 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.