Kira Keenan, LCSW, MED | |
950 Warren Ave Ste 204, East Providence, RI 02914-1432 | |
(401) 606-3711 | |
Not Available |
Full Name | Kira Keenan |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 950 Warren Ave Ste 204, East Providence, Rhode Island |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1306358825 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | CSW01845 (Rhode Island) | Secondary |
1041C0700X | Social Worker - Clinical | ISW02870 (Rhode Island) | Primary |
Entity Name | Lifespan Physician Group Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1548506793 PECOS PAC ID: 2567455082 Enrollment ID: O20130528000089 |
Mailing Address | Practice Location Address |
---|---|
Kira Keenan, LCSW, MED 117 Ellenfield St Ste 101, Providence, RI 02905-4541 Ph: (401) 444-6779 | Kira Keenan, LCSW, MED 950 Warren Ave Ste 204, East Providence, RI 02914-1432 Ph: (401) 606-3711 |
Maria S Regan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-432-1160 Fax: 401-432-1500 | |
Ms. Deborah Ann Furtado, M.S.W.,A.C.S.W. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 146 Dover Ave, East Providence, RI 02914 Phone: 401-743-2433 | |
Julie K Klang, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1011 Veterans Memorial Pkwy, East Providence, RI 02915 Phone: 401-432-1352 Fax: 401-432-1500 | |
Coyna Peralta Pena, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 975 Waterman Ave, East Providence, RI 02914 Phone: 401-235-7000 Fax: 401-767-4516 | |
Ms. Diane Elizabeth Passantino, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 55 Dover Ave, East Providence, RI 02914 Phone: 401-248-5823 Fax: 401-406-2701 | |
Mrs. Kerri-ann Soares Varela, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 52 Humphrey St, East Providence, RI 02914 Phone: 401-617-9366 | |
Rebecca Kathleen Sousa, LICSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 870 Waterman Ave, East Providence, RI 02914 Phone: 401-475-9979 |