Active NPI
Zander Keig, LCSW
- Clinical Social Worker
- Jacksonville, FL
National Provider Identifier
1831441914
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- SW15778
- Practice address
- 1128 N Laura St
Jacksonville, FL 32206-4912 - Phone
- (904) 425-0400
- NPI assigned
- Oct 12, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW.09923924 | CO | |
| Clinical Social Worker | 1041C0700X | 73234 | CA | |
| Clinical Social Worker | 1041C0700X | SW15778 | FL | Primary |
Addresses
Primary practice location
1128 N Laura St
Jacksonville, FL 32206-4912
Mailing address
1401 Riverplace Blvd Apt 2005
Jacksonville, FL 32207-1817
Phone (415) 504-7149
Other practice location 1
34800 Bob Wilson Dr,
NMCSD Case Management Department
San Diego, CA 92134-0001
Phone (415) 504-7149
Other practice location 2
2014 Massey Avenue
Jacksonville, FL 32227
Phone (904) 270-4293
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
| License | State | Type | Specialty |
|---|---|---|---|
| CSW.09923924 | CO | MD | Clinical Social Worker |
| 73234 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350000000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557100800000",
"number": "1831441914",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1401 RIVERPLACE BLVD APT 2005",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322071817",
"telephone_number": "415-504-7149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1128 N LAURA ST",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322064912",
"telephone_number": "904-425-0400"
}
],
"practiceLocations": [
{
"address_1": "34800 Bob Wilson Dr,",
"address_2": "NMCSD Case Management Department",
"address_purpose": "LOCATION",
"city": "San Diego",
"state": "CA",
"postal_code": "921340001",
"country_code": "US",
"telephone_number": "415-504-7149",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2014 Massey Avenue",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "FL",
"postal_code": "32227",
"country_code": "US",
"telephone_number": "904-270-4293",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEIG",
"first_name": "ZANDER",
"name_prefix": "Mr.",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-10-12",
"last_updated": "2019-05-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "CSW.09923924",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "73234",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "FL",
"license": "SW15778",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.