Active NPI
Mary K O'Keefe, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1972942589
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 12417
- Practice address
- 5407 N Charles St
Baltimore, MD 21210-2024 - Phone
- (410) 433-8861
- Fax
- (410) 433-1249
- NPI assigned
- Jun 17, 2013
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 12417 | MD | Primary |
Addresses
Primary practice location
5407 N Charles St
Baltimore, MD 21210-2024
Mailing address
5407 N Charles St
Baltimore, MD 21210-2024
Phone (410) 433-8861
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 |
|---|---|---|---|
| 12417 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Inspirit Counseling Services, Inc. | Clinical | Current | Accepting new patients |
Locations
5407 N Charles St
Baltimore, MD 21210
Phone (410) 433-2241
Organizations & group practices 1
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": "1371427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1371427200000",
"number": "1972942589",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5407 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102024",
"telephone_number": "410-433-8861",
"fax_number": "410-433-1249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5407 N CHARLES ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212102024",
"telephone_number": "410-433-8861",
"fax_number": "410-433-1249"
}
],
"practiceLocations": [],
"basic": {
"last_name": "O'KEEFE",
"first_name": "MARY",
"middle_name": "K",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-06-17",
"last_updated": "2013-06-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "12417",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.