Stephanie A Keenan, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6802084353 Issued in MI

Practice address

794 Pine St Ste 220a
Muskegon, MI 49442-1020

Phone

(231) 740-7913

NPI assigned

May 8, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• County of Muskegon

  • Skilled Nursing Facility
  • Muskegon, MI
  • NPI 1659440816
  NPD (past)

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

{
    "created_epoch": "1210204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1652918400000",
    "number": "1992972053",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8781 S 116TH AVE",
            "city": "ROTHBURY",
            "state": "MI",
            "postal_code": "494528085",
            "telephone_number": "231-740-7913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 PINE ST STE 220A",
            "city": "MUSKEGON",
            "state": "MI",
            "postal_code": "494421020",
            "telephone_number": "231-740-7913"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "155 E Apple Ave",
            "address_purpose": "LOCATION",
            "city": "Muskegon",
            "state": "MI",
            "postal_code": "494423463",
            "country_code": "US",
            "telephone_number": "231-724-6040",
            "fax_number": "231-724-6042",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEENAN",
        "first_name": "STEPHANIE",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-05-08",
        "last_updated": "2022-05-19",
        "certification_date": "2022-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801092003",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6802084353",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sakeenan@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mail",
            "address_1": "794 Pine St Ste 220A",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494421020",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Sakeenan@outlook.com",
            "affiliation": "N",
            "endpointDescription": "Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "contentOtherDescription": "Mail",
            "address_1": "794 Pine St Ste 220A",
            "city": "Muskegon",
            "state": "MI",
            "country_code": "US",
            "postal_code": "494421020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Denise Ann Kater, RN
• Katherine Jawor DO PLLC
• Mark Charles Kaufman, M.A.
• John David Kaurich, M.D.
• Mary Alexanderia Keely, PA-C
• Kimberly S Keessen, AU.D
• Charles Hobart Keever III, D.D.S.
• Caitlin Keglovitz, LLMSW
• Toni Keglovitz
• Katherine Gross Keller, D.O.

• Clinical Social Worker in Muskegon, MI
• Providers in Muskegon, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; 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.