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MS. MARY BRIDGET KEENAN LCSW NPI 1063477719


NPI Information

NPI: 1063477719
Provider Name: MS. MARY BRIDGET KEENAN, LCSW
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Organization: PROSPECT MANCHESTER HOSPITAL, INC.

PECOS Registration: Yes

Address:
150 N MAIN ST
SUITE 130
MANCHESTER, CT
ZIP 06042
Phone: (860) 533-3434
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MS. Mary Bridget Keenan, LCSW is a clinical social worker in Manchester, CT with 30 years of experience. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Mary Bridget Keenan, LCSW NPI is 1063477719. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

150 N MAIN ST
SUITE 130
MANCHESTER, CT
ZIP 06042-086
Phone: (860) 533-3434
Fax: (860) 647-6829

The NPI 1063477719 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Group psychotherapy (HCPCS:90853)
  • Psychotherapy, 45 minutes with patient and/or family member (HCPCS:90834)
  • Psychotherapy, 30 minutes with patient and/or family member (HCPCS:90832)

The enumeration date for this NPI number is 4/18/2006 and was last updated on 12/11/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinical004136CONNECTICUTYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1800002415MEDICARE ID-TYPE UNSPECIFIEDCONNECTICUT
2004025177MEDICAIDCONNECTICUT
3P12972MEDICARE UPINCONNECTICUT

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.