Individual provider Active NPI

Brian Christopher O'Keefe

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1972971455
Registry record updated Mar 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
121813 Issued in MA
Practice address
1089 Commonwealth Ave # 350
Boston, MA 02215-1041
Phone
(617) 419-0262
NPI assigned
Sep 14, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 26, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Clinical Social Worker 1041C0700X 121813 MA Primary

Addresses

Primary practice location

1089 Commonwealth Ave # 350
Boston, MA 02215-1041

Mailing address

1089 Commonwealth Ave # 350
Boston, MA 02215-1041
Phone (781) 690-3411

Other practice location 1

156 Lawton St
Brookline, MA 02446-5801
Phone (617) 739-1794 ext. 240

Other practice location 2

780 American Legion Hwy
Roslindale, MA 02131-3908
Phone (617) 469-8500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
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

Enrollment IDStateProvider typePAC IDDetails
I20220914001780 MA Practitioner - Clinical Social Worker 0547645301 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
121813MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
O'Keefe Counseling, LLC CurrentSince Apr 6, 2023 Accepting new patients
Riverside Community Care, Inc. CurrentSince May 18, 2022 Accepting new patients

Locations

1089 Commonwealth Ave
#350
Boston, MA 02215
Phone (617) 419-0262

270 Bridge St
Ste 301
Dedham, MA 02026
Phone (617) 230-9905

190 Lenox St
Norwood, MA 02062
Phone (781) 769-8670

117 Summer St
Somerville, MA 02143
Phone (617) 284-5130

Organizations & group practices 2

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": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679788800000",
    "number": "1972971455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1089 COMMONWEALTH AVE # 350",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151041",
            "telephone_number": "781-690-3411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1089 COMMONWEALTH AVE # 350",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "022151041",
            "telephone_number": "617-419-0262"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "156 Lawton St",
            "address_purpose": "LOCATION",
            "city": "Brookline",
            "state": "MA",
            "postal_code": "024465801",
            "country_code": "US",
            "telephone_number": "617-739-1794 x240",
            "fax_number": "617-739-2187",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "780 American Legion Hwy",
            "address_purpose": "LOCATION",
            "city": "Roslindale",
            "state": "MA",
            "postal_code": "021313908",
            "country_code": "US",
            "telephone_number": "617-469-8500",
            "fax_number": "617-325-0353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "O'KEEFE",
        "first_name": "BRIAN",
        "middle_name": "CHRISTOPHER",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2023-03-26",
        "certification_date": "2023-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "121813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.