Individual provider · Type 1 NPI

Tara Keegan, MSW, LCSW

Clinical Social Worker · Las Vegas, NV

NPI number 1578890919 Active

Practice location

4660 S Eastern Ave, #104A
Las Vegas, NV 89119-6137

Fax (702) 450-4239

Mailing address

12 Oak Ter
Suffern, NY 10901-5907

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05500200 (NY)
Social Worker 104100000X5439-S (NV)
Clinical Social Worker 1041C0700XINTERN-IC-569 (NV)

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 1578890919

Tara Keegan, MSW, LCSW's National Provider Identifier is 1578890919, issued on Nov 5, 2009. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Las Vegas, NV. The record was last updated on Mar 20, 2012.