Individual provider · Type 1 NPI

Mary Theresa Keane, LCSW-C

Clinical Social Worker · Columbia, MD

NPI number 1043437288 Active

Practice location

9810 Patuxent Woods Dr Ste C
Columbia, MD 21046-1595

Fax (410) 290-6604

Mailing address

6148 Waiting Spg
Columbia, MD 21045-4044

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X05924 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043437288

Mary Theresa Keane, LCSW-C's National Provider Identifier is 1043437288, issued on Apr 19, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Columbia, MD. The record was last updated on Jul 8, 2007.