Active NPI
Juliet Keeler-Lebien, LCSW-R
- Clinical Social Worker
- New York, NY
National Provider Identifier
1871724682
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 076843-1
- Practice address
- 303 5TH Ave RM 1707
New York, NY 10016-6641 - Phone
- (917) 679-2023
- NPI assigned
- Jul 29, 2009
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 107226 | CA | |
| Clinical Social Worker | 1041C0700X | 44SC06058900 | NJ | |
| Clinical Social Worker | 1041C0700X | 118628 | MA | |
| Clinical Social Worker | 1041C0700X | 5169C | AL | |
| Clinical Social Worker | 1041C0700X | 076843-1 | NY | Primary |
Addresses
Primary practice location
303 5TH Ave RM 1707
New York, NY 10016-6641
Mailing address
14 Hawthorne Ave
Glen Ridge, NJ 07028-2011
Phone (917) 679-2023
Other practice location 1
99 Beauvoir Ave
Summit, NJ 07901-3533
Phone (908) 522-5757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Oct 3, 2022 through Oct 3, 2026
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5169C | AL | MD | Clinical Social Worker |
| 118628 | MA | MD | Clinical Social Worker |
| 44SC06058900 | NJ | MD | Clinical Social Worker |
| 076843-1 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1248825600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684454400000",
"number": "1871724682",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14 HAWTHORNE AVE",
"city": "GLEN RIDGE",
"state": "NJ",
"postal_code": "070282011",
"telephone_number": "917-679-2023"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 5TH AVE RM 1707",
"city": "NEW YORK",
"state": "NY",
"postal_code": "100166641",
"telephone_number": "917-679-2023"
}
],
"practiceLocations": [
{
"address_1": "99 Beauvoir Ave",
"address_purpose": "LOCATION",
"city": "Summit",
"state": "NJ",
"postal_code": "079013533",
"country_code": "US",
"telephone_number": "908-522-5757",
"fax_number": "908-522-5779",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEELER-LEBIEN",
"first_name": "JULIET",
"name_prefix": "Ms.",
"credential": "LCSW-R",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-07-29",
"last_updated": "2023-05-19",
"certification_date": "2023-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "107226",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC06058900",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "118628",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AL",
"license": "5169C",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NY",
"license": "076843-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New York, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.