Active NPI
Celina Keys, LCSW
- Clinical Social Worker
- Evans, GA
National Provider Identifier
1851757363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW005441
- Practice address
- 431 Weyanoke Dr
Evans, GA 30809-7061 - Phone
- (407) 716-1916
- Fax
- (407) 716-1916
- NPI assigned
- Jan 13, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW005441 | GA | Primary |
Addresses
Primary practice location
431 Weyanoke Dr
Evans, GA 30809-7061
Mailing address
431 Weyanoke Dr
Evans, GA 30809-7061
Phone (407) 716-1916
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 |
|---|---|---|---|
| CSW005441 | GA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Celinakeyswellness | Clinical | Current | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Evans, GA
- NPI 1649001819
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1452643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1724716800000",
"number": "1851757363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "431 WEYANOKE DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308097061",
"telephone_number": "407-716-1916",
"fax_number": "407-716-1916"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "431 WEYANOKE DR",
"city": "EVANS",
"state": "GA",
"postal_code": "308097061",
"telephone_number": "407-716-1916",
"fax_number": "407-716-1916"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEYS",
"first_name": "CELINA",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-01-13",
"last_updated": "2024-08-27",
"certification_date": "2024-08-27",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW005441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Evans, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.