Michael L. Keohane, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

0904006381 Issued in VA

Practice address

27018 Lee Hwy
Abingdon, VA 24211-7512

Phone

(276) 628-8513

Fax

(276) 628-2046

NPI assigned

Feb 15, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861535254",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CUMBERLAND ST",
            "address_2": "4TH FLOOR, EXECUTIVE PLAZA",
            "city": "BRISTOL",
            "state": "VA",
            "postal_code": "242014324",
            "telephone_number": "276-645-4758",
            "fax_number": "276-669-9093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27018 LEE HWY",
            "city": "ABINGDON",
            "state": "VA",
            "postal_code": "242117512",
            "telephone_number": "276-628-8513",
            "fax_number": "276-628-2046"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEOHANE",
        "first_name": "MICHAEL",
        "middle_name": "L.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904006381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kate A Keith, MS
• Mary Caitlin Kelley, ATC/L
• Rebecca A Kelly, LCSW
• Jennifer Kemp, PT
• Sharon Jeanette Kennedy, RDH
• Staceyq C Kestner, LPC
• Brent Key, PT, DPT
• Susan Key
• Camille Hoffman Kingsolver, LPC
• Tyler Dexter Kirk, D.O.

• Clinical Social Worker in Abingdon, VA
• Providers in Abingdon, VA by specialty
• Clinical Social Worker in Virginia

• 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.

Verify at the official NPI Registry.