James O'Keefe, LCSW
Individual provider Active NPI Clinical Social Worker · Tivoli, NY
NPI 1881708147 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1881708147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R033495-1 (NY)
- Practice address
- 6 Spring Street
Tivoli, NY 12583 - Phone
- (845) 757-5434
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R033495-1 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R033495-1 | NY | Yes |
Addresses
Primary practice location
6 Spring Street
Tivoli, NY 12583
Mailing address
PO Box 314
Tivoli, NY 12583-0314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01905357 | Medicaid | NY |
Other providers in Tivoli, NY
- Meredith Claire Goff
- Roberta Lynn Hayes
- Christopher J Karpinski
- Heidi A Kronenberg
- Bernadette Mary McCrudden
- Ronnie Organ
- Karin Sorg
- Leo Stronger
- Nydia Esther Sturges
- Jill Snyder Taylor
All providers in Tivoli, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.