Mr Richard James Mckeown, LICSW, LADCI | |
39 Glendale Rd, Southampton, MA 01073-9445 | |
(413) 658-5245 | |
Not Available |
Full Name | Mr Richard James Mckeown |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 39 Glendale Rd, Southampton, Massachusetts |
Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184777211 | NPI | - | NPPES |
PO4769 | Other | MA | BCBS PROVIDER NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 1016602 (Massachusetts) | Primary |
101YA0400X | Counselor - Addiction (substance Use Disorder) | 758 (Massachusetts) | Secondary |
Mailing Address | Practice Location Address |
---|---|
Mr Richard James Mckeown, LICSW, LADCI 39 Glendale Rd, Southampton, MA 01073-9445 Ph: (413) 658-5245 | Mr Richard James Mckeown, LICSW, LADCI 39 Glendale Rd, Southampton, MA 01073-9445 Ph: (413) 658-5245 |
Beth Dorcas Russell-smith, MSW, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 84 High St, Southampton, MA 01073 Phone: 413-695-0662 |