Keeley Danielle Kooken, LCSW | |
511 Cedar Ridge Rd, Monroe, GA 30656-4617 | |
(404) 663-5758 | |
Not Available |
Full Name | Keeley Danielle Kooken |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 511 Cedar Ridge Rd, Monroe, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1265900070 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW007802 (Georgia) | Primary |
Entity Name | Greater Atlanta Family Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1629431390 PECOS PAC ID: 7315226693 Enrollment ID: O20161108002577 |
Entity Name | Keeley Kooken Msw Lcsw Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194464651 PECOS PAC ID: 3072991785 Enrollment ID: O20220725001955 |
Mailing Address | Practice Location Address |
---|---|
Keeley Danielle Kooken, LCSW 511 Cedar Ridge Rd, Monroe, GA 30656-4617 Ph: (404) 663-5758 | Keeley Danielle Kooken, LCSW 511 Cedar Ridge Rd, Monroe, GA 30656-4617 Ph: (404) 663-5758 |
Nicole Rufina Alexander, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 506 S Broad St, Monroe, GA 30655 Phone: 800-560-1267 | |
Kelly Nicole Dickerson, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 204 W Spring St, Monroe, GA 30655 Phone: 770-599-7508 Fax: 866-734-7631 | |
Chrystal Hillman, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 236 Bridgeport Ln, Monroe, GA 30655 Phone: 678-778-4068 | |
Frank D Morris Jr., LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 517 Great Oaks Dr, Monroe, GA 30655 Phone: 770-267-2035 | |
Emily T Forte, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 506 S Broad St, Monroe, GA 30655 Phone: 800-560-1267 | |
Richard Lee Phillips, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 204 W Spring St, Monroe, GA 30655 Phone: 678-509-7178 Fax: 866-734-7631 |