Taleah Denise Keith, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149.021406 Issued in IL

Practice address

1201 Broad Rock Blvd
Richmond, VA 23249-0001

Phone

(804) 675-6725

Fax

(804) 675-5655

NPI assigned

Sep 25, 2019

Last updated

Sep 25, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Taleah Harmon Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1569369600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1569369600000",
    "number": "1992356505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3010 GREAT OAK DR",
            "city": "DISTRICT HEIGHTS",
            "state": "MD",
            "postal_code": "207472719",
            "telephone_number": "703-565-8792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 BROAD ROCK BLVD",
            "city": "RICHMOND",
            "state": "VA",
            "postal_code": "232490001",
            "telephone_number": "804-675-6725",
            "fax_number": "804-675-5655"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEITH",
        "first_name": "TALEAH",
        "middle_name": "DENISE",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-25",
        "last_updated": "2019-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149.021406",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TALEAH",
            "last_name": "HARMON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jessica Lee Keiser, MD
• Tanesha Keita, LCSW
• Mary S Keiter, DDS
• Michael Dalton Keiter, MD
• Jordan Elizabeth Keith
• Nicole Guess Kellam, OTR/L
• Erica Kellar Brown, DVM
• Nicole Marie Kelleher-Linkonis, MD
• A. Brian Kelleher, M.D., P.C.
• Francis James Kelleher Sr., P.A.- C.

• Clinical Social Worker in Richmond, VA
• Providers in Richmond, VA by specialty
• Clinical Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2019; 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.