Raven T O'rourke Keohan, LCSW is a
Social Worker - Clinical based in Nashville, Tennessee. Raven T O'rourke Keohan is licensed to practice in Tennessee (license number 5966) and her current practice location is
719 Thompson Lane, Suite 37189, Nashville, Tennessee. She can be reached at her office (for appointments etc.) via phone at
(615) 285-9134.
NPI number for Raven T O'rourke Keohan is 1477989713 and her current mailing address is 401 South Mount Juliet Road Suite 235, #170, Mt. Juliet, Tennessee. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1477989713.
Healthcare Provider's Profile
| Full Name | Raven T O'rourke Keohan |
|---|
| Gender | Female |
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| Speciality | Social Worker - Clinical |
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| Location | 719 Thompson Lane, Nashville, Tennessee |
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| Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
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NPI Data:
- NPI Number: 1477989713
- Provider Enumeration Date: 09/18/2013
- Last Update Date: 03/08/2024
Medical Identifiers
Medical identifiers for Raven T O'rourke Keohan such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
|---|
| 1477989713 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
|---|
| 101YM0800X | Counselor - Mental Health | 5966 (Tennessee) | Secondary |
| 1041C0700X | Social Worker - Clinical | 5966 (Tennessee) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Raven T O'rourke Keohan is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
|---|
Raven T O'rourke Keohan, LCSW
401 South Mount Juliet Road Suite 235, #170,
Mt. Juliet, TN 37122-3616
Ph: (615) 285-9134 | Raven T O'rourke Keohan, LCSW
719 Thompson Lane, Suite 37189,
Nashville, TN 37204
Ph: (615) 285-9134 |
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