Jkiv, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

JKIV, LLC

Practice address

57 Plains Rd Ste 1B
Milford, CT 06461-2573

Phone

(203) 400-8607

NPI assigned

Mar 1, 2023

Organization subpart

No

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

Authorized official

Name

John Keane IV, LCSWNPI 1679900765

Title

Owner

Phone

(203) 451-0195

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• John Keane IV, LMSW,BA

  • Clinical Social Worker
  • Waterbury, CT
  • NPI 1679900765
  NPD Authorized official

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

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1677628800000",
    "number": "1952000754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 VINCELLETTE ST UNIT 64",
            "city": "BRIDGEPORT",
            "state": "CT",
            "postal_code": "066062265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "57 PLAINS RD STE 1B",
            "city": "MILFORD",
            "state": "CT",
            "postal_code": "064612573",
            "telephone_number": "203-400-8607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JKIV, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A",
        "authorized_official_last_name": "KEANE",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "203-451-0195",
        "authorized_official_name_suffix": "IV",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline J Jervis, PA-C
• Jessica Hamilton
• Jessica R. Page, LLC
• Allison Jezierny
• Jefim Jezierski
• Joanne L Montgomery, LLC
• Johanna D. Von Hollinger, Ma, LMFT, LLC
• John P. Nowicki M.D. P.C.
• Rofina Johnkennedy, MD
• Anne M Johnson, LCSW

• Clinical Social Worker in Milford, CT
• Providers in Milford, CT by specialty
• Clinical Social Worker in Connecticut

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.