Active NPI
Keefer Kaneshiro, QMHS BA
- Social Worker
- Hamilton, OH
National Provider Identifier
1942854823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- S.2411607
- Practice address
- 1900 Fairgrove Ave
Hamilton, OH 45011-1966 - Phone
- (513) 785-4895
- NPI assigned
- Jul 29, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | S.2411607 | OH | Primary |
Addresses
Primary practice location
1900 Fairgrove Ave
Hamilton, OH 45011-1966
Mailing address
1501 Madison Rd
Walnut Hills, OH 45206-1706
Phone (513) 354-5200
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
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S.2411607 | OH | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1564358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1730937600000",
"number": "1942854823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1501 MADISON RD",
"city": "WALNUT HILLS",
"state": "OH",
"postal_code": "452061706",
"telephone_number": "513-354-5200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1900 FAIRGROVE AVE",
"city": "HAMILTON",
"state": "OH",
"postal_code": "450111966",
"telephone_number": "513-785-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KANESHIRO",
"first_name": "KEEFER",
"credential": "QMHS BA",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-07-29",
"last_updated": "2024-11-07",
"certification_date": "2024-11-07",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "OH",
"license": "S.2411607",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hamilton, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.