Active NPI
Virginia Keena, MA, LLP
- Clinical Social Worker
- Eastpointe, MI
National Provider Identifier
1902145204
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 6301008613
- Practice address
- 20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137 - Phone
- (586) 585-1955
- Fax
- (586) 585-1963
- NPI assigned
- Feb 6, 2013
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 6301008613 | MI | Primary |
Addresses
Primary practice location
20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Mailing address
20960 Kelly Rd
Suite B
Eastpointe, MI 48021-3137
Phone (586) 585-1955
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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6301008613 | MI | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Horizons Specialty Care Services LLC | Past | Accepting new patients | |
| New Horizons Mental Health Services PLLC | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Adult Mental Health Clinic/Center
- Eastpointe, MI
- NPI 1205077583
-
- Behavior Analyst
- Eastpointe, MI
- NPI 1215172515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1360108800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1902145204",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "20960 KELLY RD",
"address_2": "SUITE B",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213137",
"telephone_number": "586-585-1955",
"fax_number": "586-585-1963"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "20960 KELLY RD",
"address_2": "SUITE B",
"city": "EASTPOINTE",
"state": "MI",
"postal_code": "480213137",
"telephone_number": "586-585-1955",
"fax_number": "586-585-1963"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KEENA",
"first_name": "VIRGINIA",
"credential": "MA, LLP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-02-06",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "6301008613",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Eastpointe, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.