Individual provider · Type 1 NPI

Theresa A. Keane, LCSW-R

Clinical Social Worker · Smithtown, NY

NPI number 1104382969 Active

Practice location

285 Middle Country Rd # LL5
Smithtown, NY 11787-2978

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XRO52037-1 (NY)

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 1104382969

Theresa A. Keane, LCSW-R's National Provider Identifier is 1104382969, issued on Feb 18, 2019. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Smithtown, NY. The record was last updated on Feb 18, 2019.