Fred Keane Lcsw, Pllc | |
6 Hemlock Trail Ct Carmel NY 10512-5764 | |
(914) 714-3178 | |
(888) 972-5017 |
Full Name | Fred Keane Lcsw, Pllc |
---|---|
Speciality | Social Worker |
Location | 6 Hemlock Trail Ct, Carmel, New York |
Authorized Official Name and Position | Ilene Kaswer (CREDENTIALING SPECIALIST) |
Authorized Official Contact | 8458491958 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Fred Keane Lcsw, Pllc Po Box 1071 Carmel NY 10512-8071 Ph: (845) 849-1958 | Fred Keane Lcsw, Pllc 6 Hemlock Trail Ct Carmel NY 10512-5764 Ph: (914) 714-3178 |
NPI Number | 1730796293 |
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Provider Enumeration Date | 09/29/2020 |
Last Update Date | 09/29/2020 |
Certification Date | 09/29/2020 |
Medicare PECOS PAC ID | 0143629444 |
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Medicare Enrollment ID | O20210518002119 |
Identifier | Type | State | Issuer |
---|---|---|---|
1730796293 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Frederick W. Keane |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1508283896 PECOS PAC ID: 2961801261 Enrollment ID: I20210518002407 |
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