Organization Active NPI

Keith Haas, LCSW, PLLC

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1891177325
Registry record updated Sep 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
3627 Issued in KY
Legal business name
KEITH HAAS, LCSW, PLLC
Practice address
501 Darby Creek Rd
3
Lexington, KY 40509-1604
Phone
(859) 488-1236
NPI assigned
Jun 20, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 13, 2016

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

Authorized official

Name
Mr. Keith Paul Haas, LCSW
Title
Psychotherapist
Phone
(859) 488-1236

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 3627 KY Primary

Addresses

Primary practice location

501 Darby Creek Rd
3
Lexington, KY 40509-1604

Mailing address

3277 Maddenhurst CT
Lexington, KY 40517-2866

National Provider Directory

National Provider Directory

Locations

501 Darby Creek Rd
Ste 3
Lexington, KY 40509
Phone (859) 263-2377

637 Sayre Ave
Lexington, KY 40508
Phone (859) 269-1333

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1434758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1473724800000",
    "number": "1891177325",
    "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"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 DARBY CREEK RD",
            "address_2": "3",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405091604",
            "telephone_number": "859-488-1236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KEITH HAAS, LCSW, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-20",
        "last_updated": "2016-09-13",
        "status": "A",
        "authorized_official_last_name": "HAAS",
        "authorized_official_first_name": "KEITH",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "859-488-1236",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  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 Sep 13, 2016; 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.