Keeva Nicole Hartley, MSW LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

15674 Issued in MN

Practice address

7800 Metro Pkwy Ste 300
Bloomington, MN 55425-1509

Phone

(612) 554-3740

Fax

(651) 344-4406

NPI assigned

Nov 17, 2005

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MN

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

Specialty

Clinical Social Worker

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Hartley Counseling Services, LLC

  • Community/Behavioral Health Agency
  • Richfield, MN
  • NPI 1013449073
  Medicare reassignment NPD Authorized official
• Nystrom & Associates, LTD

  dba Sagent Behavioral Health

  • Clinical Social Worker
  • New Brighton, MN
  • NPI 1396750188
  Medicare reassignment NPD

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

{
    "created_epoch": "1132185600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1932181658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251509",
            "telephone_number": "612-554-3740",
            "fax_number": "651-344-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 METRO PKWY STE 300",
            "city": "BLOOMINGTON",
            "state": "MN",
            "postal_code": "554251509",
            "telephone_number": "612-554-3740",
            "fax_number": "651-344-4406"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1345 Mendota Heights Rd Ste 600",
            "address_purpose": "LOCATION",
            "city": "Mendota Heights",
            "state": "MN",
            "postal_code": "551202006",
            "country_code": "US",
            "telephone_number": "651-313-8080",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HARTLEY",
        "first_name": "KEEVA",
        "middle_name": "NICOLE",
        "name_prefix": "Miss",
        "credential": "MSW LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-17",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "15674",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc William Harrie, O.D.
• Carson R Harris, MD
• Kathryn Harris
• Amanda J Harrison, PAC
• Hala Mohamed Harte
• Kristin Hartley, LICSW
• Isaac Hartman
• Tracy Ruthelin Hartmann, M.D.
• Brigetta Hartzell
• Deeqo Mahomeed Hashi

• Clinical Social Worker in Bloomington, MN
• Providers in Bloomington, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.