Active NPI
Loretta Keelin Counseling, Inc
- Clinical Social Worker
- Jacksonville, NC
National Provider Identifier
1841421302
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- C003027
- Legal business name
- LORETTA KEELIN COUNSELING, INC
- Practice address
- 824 Gum Branch Rd
Suite O
Jacksonville, NC 28540-6272 - Phone
- (910) 938-9338
- Fax
- (910) 989-0377
- NPI assigned
- Aug 1, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Loretta B Keelin, LCSW
- Title
- President/Owner
- Phone
- (910) 938-9338
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | C003027 | NC | Primary |
Addresses
Primary practice location
824 Gum Branch Rd
Suite O
Jacksonville, NC 28540-6272
Mailing address
824 Gum Branch Rd
Suite O
Jacksonville, NC 28540-6272
Phone (910) 938-9338
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1249084800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1249257600000",
"number": "1841421302",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "824 GUM BRANCH RD",
"address_2": "SUITE O",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285406272",
"telephone_number": "910-938-9338",
"fax_number": "910-989-0377"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "824 GUM BRANCH RD",
"address_2": "SUITE O",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "285406272",
"telephone_number": "910-938-9338",
"fax_number": "910-989-0377"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LORETTA KEELIN COUNSELING, INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-08-01",
"last_updated": "2009-08-03",
"status": "A",
"authorized_official_last_name": "KEELIN",
"authorized_official_first_name": "LORETTA",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PRESIDENT/OWNER",
"authorized_official_telephone_number": "910-938-9338",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "C003027",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.