Active NPI
Keith Haas
- Clinical Social Worker
- Lexington, KY
National Provider Identifier
1861690091
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 3627
- Practice address
- 637 Sayre Ave
Lexington, KY 40508-2317 - Phone
- (859) 523-6000
- NPI assigned
- Jul 10, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3627 | KY | Primary |
Addresses
Primary practice location
637 Sayre Ave
Lexington, KY 40508-2317
Mailing address
3277 Maddenhurst CT
Lexington, KY 40517-2866
Phone (859) 488-1236
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184025600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618876800000",
"number": "1861690091",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3277 MADDENHURST CT",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405172866",
"telephone_number": "859-488-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "637 SAYRE AVE",
"city": "LEXINGTON",
"state": "KY",
"postal_code": "405082317",
"telephone_number": "859-523-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAAS",
"first_name": "KEITH",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-07-10",
"last_updated": "2021-04-20",
"certification_date": "2021-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "KY",
"license": "3627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lexington, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.