MS. MARY BRIDGET KEENAN (NPI# 1063477719) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063477719 |
| Entity Type | Individual |
| Full Name | MS. MARY BRIDGET KEENAN |
| Credential | LCSW |
| Practice Address |
150 N Main St Suite 130 Manchester CT 06042-2086 |
| Mailing Address |
71 Haynes St Manchester Memorial Hospital Manchester CT 06040-4131 |
| Practice Telephone | 8605333434 |
| Practice Fax Number | 8606476829 |
| Mailing Telephone | 8606476832 |
| Mailing Fax Number | 8606476831 |
| Enumeration Date | 2006-04-18 |
| Last Update Date | 2014-12-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
004136 | CT | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 004025177 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194926584 | Mary Katherine Keenan | Speech-Language Pathologist | 11574 Longview, Olathe, KS 66061-5678 | 2007-05-31 |
| 1356408447 | Mary Claire Keenan | Social Worker | 30 Burcam Dr, Madison, CT 06443-2242 | 2007-01-02 |
| 1245599356 | Mary Keenan | Technician/Technologist | 681 Tremont St, Boston, MA 02118-1281 | 2012-05-09 |
| 1356613012 | Mary Kathryn Keenan | Physician Assistant | 3701 Lafayette Rd, Evansdale, IA 50707-1129 | 2012-01-27 |
| 1053488262 | Mary Josephine Keenan | Social Worker | 71 Walnut Blvd, Suite #109, Rochester, MI 48307-2073 | 2006-11-30 |
| 1699850420 | Mary Kathleen Keenan | Counselor | 10470 Armstrong St, Fairfax, VA 22030-3648 | 2006-10-27 |
| 1801834452 | Mary Kimble Keenan | Psychologist | 7511 New Lagrange Rd, Louisville, KY 40222-4859 | 2006-06-04 |
| Street Address |
150 N MAIN ST SUITE 130 |
| City | MANCHESTER |
| State | CT |
| Zip Code | 06042-2086 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881662450 | Stephen L Alloy | Psychiatry & Neurology | 150 N Main St, Manchester, CT 06042-2003 | 2006-03-09 |
| 1396392791 | Daniela E Sopko | Social Worker | 150 N Main St, Manchester, CT 06042-2086 | 2019-08-20 |
| 1922515055 | Christina Chykirda | Counselor | 150 N Main St, Manchester, CT 06042-2086 | 2018-01-10 |
| 1194243311 | Stephanie Zahn | Pharmacist | 150 N Main St, Manchester, CT 06042-2086 | 2017-09-08 |
| 1962934315 | Sha-shana Smith | Registered Nurse | 150 N Main St, Manchester, CT 06042-2086 | 2017-04-03 |
| 1952756918 | Hassan Yaser Loutfi | Family Medicine | 150 N Main St, Manchester, CT 06042-2086 | 2016-04-27 |
| 1023479524 | Jennifer Daley | Registered Nurse | 150 N Main St, #230, Manchester, CT 06042-2086 | 2016-03-10 |
| 1497155121 | Claudia Vilarino-delacuadra | Social Worker | 150 N Main St, Manchester, CT 06042-2086 | 2014-08-29 |
| 1962770131 | Taisha Zulma Santiago | Social Worker | 150 N Main St, 130, Manchester, CT 06042-2086 | 2011-12-02 |
| 1417240839 | Michelle Maclagan | Counselor | 150 N Main St, Manchester, CT 06042-2086 | 2011-05-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275000960 | Nicole Berger | Behavioral Analyst | 199 Tudor Lane, Apartment E, Manchester, CT 06042 | 2018-10-31 |
| 1902336522 | Karen Scandura | Pharmacist | 260 North Main Street, Manchester, CT 06042 | 2017-06-15 |
| 1053727479 | Sph3enterprise, LLC | Dentist | 194 Buckland Hills Drive, Manchester, CT 06042 | 2014-07-07 |
| 1962657288 | Anthony Michael Gioscia | Optometrist | 344v Buckland Hills Dr, Manchester, CT 06042 | 2008-12-01 |
| 1467635714 | Linda Fernald Gates | Dietitian, Registered | 300 Parker St, Manchester, CT 06042 | 2007-12-10 |
| 1669513909 | Carlos Alfonso Gonzalez | Psychiatry & Neurology | 317 North Main Street, C/o Ccgc, Manchester, CT 06042 | 2007-02-09 |
| 1942350467 | Lise G. O'neill | Counselor | Manchester Memorial Hospital, 71 Haynes St, Manchester, CT 06042 | 2007-01-10 |
| 1558439398 | Jason Allen Sousa | Chiropractor | 1127 Tolland Turnpike, Suite 102, Manchester, CO 06042 | 2006-12-01 |
| 1245332444 | Sharon Soria | Dentist | 192 Main Street, Manchester, TN 06042 | 2006-09-01 |
| 1699732206 | First Choice Health Centers, Inc. | Clinic/Center | 150 N Main St Ste 240, Manchester, CT 06042 | 2006-04-27 |
| Find all providers in zip 06042 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730799099 | T.r.u.e. Self Counseling | Social Worker | 642 Hilliard St Ste 1310, Manchester, CT 06042-2700 | 2020-08-03 |
| 1992328710 | Cheryl Kinney | Social Worker | 623 Meramec Station Rd, Manchester, MO 63021-5550 | 2020-05-27 |
| 1649818857 | Amanda Duenas | Social Worker | 26 Hamlin St, Manchester, CT 06040-5319 | 2019-12-18 |
| 1386288009 | Monica Diaz | Social Worker | 117 East Center Street, Suite A1, Manchester, CT 06040 | 2019-11-06 |
| 1700344165 | Morgan Moller | Social Worker | 200 W Center St Ste C-2-6, Manchester, CT 06040-4864 | 2019-03-05 |
| 1336615103 | Sarah Canning Howroyd | Social Worker | 341 Bidwell St, Manchester, CT 06040-6470 | 2018-10-19 |
| 1023583374 | Melissa K Bascom | Social Worker | C/o Care Coordination Department, 1 Elliot Way, Manchester, NH 03103 | 2018-10-12 |
| 1497239016 | Erin Macdonald Lajeunesse | Social Worker | 182 Kearsarge St, Manchester, NH 03102-3402 | 2018-09-19 |
| 1316420987 | Filomena Dasilva-clark | Social Worker | 284 N Bay St, Manchester, NH 03104-2324 | 2018-09-10 |
| 1386127009 | Susannah Blass Dipasquale | Social Worker | 2 Pinewood Rd, Manchester, MA 01944-1036 | 2018-09-09 |
| Find all providers in MANCHESTER | ||||
| City | MANCHESTER |
| Zip Code | 06042 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.