Active NPI
Lisa Laura O'Keefe, L.C.S.W.
- Social Worker
- Melville, NY
National Provider Identifier
1912922642
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- R033549-1
- Practice address
- 395 N Service Rd
Melville, NY 11747-3139 - Phone
- (631) 844-2474
- Fax
- (631) 694-4980
- NPI assigned
- Jul 13, 2006
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | R033549-1 | NY | Primary |
Addresses
Primary practice location
395 N Service Rd
Melville, NY 11747-3139
Mailing address
3 Salisbury Dr S
East Northport, NY 11731-1710
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 |
|---|---|---|---|
| R033549-1 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1912922642",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SALISBURY DR S",
"city": "EAST NORTHPORT",
"state": "NY",
"postal_code": "117311710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "395 N SERVICE RD",
"city": "MELVILLE",
"state": "NY",
"postal_code": "117473139",
"telephone_number": "631-844-2474",
"fax_number": "631-694-4980"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "LISA",
"middle_name": "LAURA",
"credential": "L.C.S.W.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "R033549-1",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.