Individual provider Active NPI

David L O'Keeffe, LCSW

  • Clinical Social Worker
  • Chicago, IL
National Provider Identifier
1922601210
Registry record updated Jun 6, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149.022190 Issued in IL
Practice address
122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173
Phone
(877) 692-8686
NPI assigned
Nov 18, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 6, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 149.022190 IL Primary

Addresses

Primary practice location

122 S Michigan Ave Ste 1441
Chicago, IL 60603-6173

Mailing address

5319 S Cornell Ave Apt 3F
Chicago, IL 60615-5630
Phone (312) 607-3026

Other practice location 1

5319 S Cornell Ave Apt 3F
Chicago, IL 60615-5630
Phone (312) 607-3026

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220503000233 IL Practitioner - Clinical Social Worker 6608263116 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Aunt Martha'S Health and Wellness, Inc. PastSince Nov 1, 2020 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.

NPI Registry JSON

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

{
    "created_epoch": "1605657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686009600000",
    "number": "1922601210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5319 S CORNELL AVE APT 3F",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606155630",
            "telephone_number": "312-607-3026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S MICHIGAN AVE STE 1441",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606036173",
            "telephone_number": "877-692-8686"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5319 S Cornell Ave Apt 3F",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606155630",
            "country_code": "US",
            "telephone_number": "312-607-3026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFFE",
        "first_name": "DAVID",
        "middle_name": "L",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-11-18",
        "last_updated": "2023-06-06",
        "certification_date": "2023-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.022190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.