Individual provider · Type 1 NPI

Kimberly Ann Keenan, LCSW

Clinical Social Worker · Peoria, IL

NPI number 1093816522 Active

Practice location

914 W Glen Avenue
Peoria, IL 61614

Fax (309) 693-3894

Mailing address

2810 W Greenbriar Drive
Peoria, IL 61614

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X149007391 (IL)

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 1093816522

Kimberly Ann Keenan, LCSW's National Provider Identifier is 1093816522, issued on Sep 26, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Peoria, IL. The record was last updated on Jul 8, 2007.