Active NPI
William Joseph McKeon, LCSW, LISW
- Clinical Social Worker
- Olympia, WA
National Provider Identifier
1962602094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW849
- Practice address
- 7325 Boston Harbor Rd NE
Olympia, WA 98506-9766 - Phone
- (970) 759-1971
- NPI assigned
- Jul 18, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | X-05904 | NM | |
| School Social Worker | 1041S0200X | LW 60643023 | WA | |
| Clinical Social Worker | 1041C0700X | LCSW849 | CO | Primary |
Addresses
Primary practice location
7325 Boston Harbor Rd NE
Olympia, WA 98506-9766
Mailing address
7325 Boston Harbor Rd NE
Olympia, WA 98506-9766
Phone (970) 759-1971
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LCSW849 | CO | MD | Clinical Social Worker |
| X-05904 | NM | MD | Clinical Social Worker |
| LW 60643023 | WA | MD | School Social Worker |
| 849 | CO | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597795200000",
"number": "1962602094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7325 BOSTON HARBOR RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985069766",
"telephone_number": "970-759-1971"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7325 BOSTON HARBOR RD NE",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985069766",
"telephone_number": "970-759-1971"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKEON",
"first_name": "WILLIAM",
"middle_name": "JOSEPH",
"name_prefix": "Mr.",
"credential": "LCSW, LISW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-18",
"last_updated": "2020-08-19",
"certification_date": "2020-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NM",
"license": "X-05904",
"primary": false
},
{
"code": "1041S0200X",
"taxonomy_group": "",
"desc": "Social Worker, School",
"state": "WA",
"license": "LW 60643023",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CO",
"license": "LCSW849",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Olympia, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.