Active NPI
Eileen M. Keegan, MSW LCSW
- Clinical Social Worker
- Toms River, NJ
National Provider Identifier
1891005583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 1314 Hooper Ave
BLDG. B-2B
Toms River, NJ 08753 - Phone
- (732) 691-0240
- NPI assigned
- Oct 14, 2010
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 44SC04874000 | NJ | |
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
1314 Hooper Ave
BLDG. B-2B
Toms River, NJ 08753
Mailing address
1314 Hooper Ave
BLDG. B-2B
Toms River, NJ 08753
Phone (732) 691-0240
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SC04874000 | NJ | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1287014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570060800000",
"number": "1891005583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1314 HOOPER AVE",
"address_2": "BLDG. B-2B",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-691-0240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1314 HOOPER AVE",
"address_2": "BLDG. B-2B",
"city": "TOMS RIVER",
"state": "NJ",
"postal_code": "08753",
"telephone_number": "732-691-0240"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEEGAN",
"first_name": "EILEEN",
"middle_name": "M.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-10-14",
"last_updated": "2019-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NJ",
"license": "44SC04874000",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toms River, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.