Active NPI
Wayne Keele, MSW
- Social Worker
- Sacramento, CA
National Provider Identifier
1851446876
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- ASW 21058
- Practice address
- 3000 Auburn Blvd
Sacramento, CA 95821-1831 - Phone
- (916) 483-2154
- NPI assigned
- Jan 23, 2007
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | ASW 21058 | CA | Primary |
| Social Worker | 104100000X | 5069-S | NV |
Addresses
Primary practice location
3000 Auburn Blvd
Sacramento, CA 95821-1831
Mailing address
4914 Saddlerock Way
Sacramento, CA 95841-2623
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
| License | State | Type | Specialty |
|---|---|---|---|
| ASW 21058 | CA | MD | Social Worker |
| 5069-S | NV | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1851446876",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4914 SADDLEROCK WAY",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958412623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3000 AUBURN BLVD",
"city": "SACRAMENTO",
"state": "CA",
"postal_code": "958211831",
"telephone_number": "916-483-2154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEELE",
"first_name": "WAYNE",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-01-23",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "CA",
"license": "ASW 21058",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NV",
"license": "5069-S",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Sacramento, CA
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.