MRS. KATIE LYNN KEENAN (NPI# 1265682744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1265682744 |
| Entity Type | Individual |
| Full Name | MRS. KATIE LYNN KEENAN |
| Other Name | MISS KATIE LYNN GLENN |
| Credential | LCSW |
| Practice Address |
707 N Armstrong Pl Boise ID 83704-0825 |
| Mailing Address |
Po Box 191155 Boise ID 83719-1155 |
| Practice Telephone | 2083755211 |
| Mailing Telephone | 9499226200 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2019-03-28 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCSW-34183 | ID | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
29090 | CA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 545 N Benjamin Ln Ste 185, Boise, ID 837049625 | 2083221026 | |
| 707 N Armstrong Pl, Boise, ID 837040825 | 2083755211 |
| Street Address |
707 N ARMSTRONG PL |
| City | BOISE |
| State | ID |
| Zip Code | 83704-0825 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326009648 | Public Health District Iv | Family Medicine | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2006-03-28 |
| 1023656782 | Ryan Atwood | Family Medicine | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2019-12-12 |
| 1669997797 | Jamie Rae Larsen | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2017-08-09 |
| 1902267842 | Eileen Ursillo | Social Worker | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-03-18 |
| 1831557438 | Summer Eldredge | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2016-02-10 |
| 1396162905 | Jana Duncan | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2014-03-20 |
| 1801174966 | Laura Ruth Szymanski | Physician Assistant | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-07-23 |
| 1144527607 | Toni Carles | Nurse Practitioner | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2011-02-18 |
| 1558664755 | Marjorie Conrad Rich | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-12-09 |
| 1548576234 | Angela Kay Spain | Dietitian, Registered | 707 N Armstrong Pl, Boise, ID 83704-0825 | 2010-08-19 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215535893 | Laura Diggs | Counselor | 400 North Benjamin Lane, Suite 200, Boise, ID 83704 | 2020-10-15 |
| 1891304002 | Tree City Family Dental | Dentist | 7301 W. Emerald St Ste. 102, Boise, ID 83704 | 2020-07-24 |
| 1982230710 | Jessica Wynn Councell | Midwife | 1072 N Liberty St Ste 100, Boise, ID 83704 | 2020-03-12 |
| 1699307124 | Isabel Burns Bruce | Registered Nurse | 777 N Raymond Street, Boise, ID 83704 | 2020-02-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1053960286 | Kyle Hiromi Hatanaka | Acupuncturist | 9450 #120 Fairview Avenue, Boise, ID 83704 | 2019-09-10 |
| 1700447141 | Katie Elizabeth Nichols | Physician Assistant | 1072 N Liberty St Ste 201, Boise, ID 83704 | 2019-06-26 |
| 1588164727 | Cory Michael Sims | Counselor | 6550 W. Emerald St #112, Boise, ID 83704 | 2018-02-14 |
| 1477072270 | Matthew Lee Love | Non-emergency Medical Transport (VAN) | 6933 W. Stratton St, Boise, ID 83704 | 2017-09-12 |
| 1942735949 | Dalana Sue Thompson | Counselor | 9196 Emerald St Suite #130, Boise, ID 83704 | 2017-04-27 |
| Find all providers in zip 83704 | ||||
| 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 |
|---|---|---|---|---|
| 1679171961 | Jill Michelle Chonody | Social Worker | 3134 S Waterbury Ln, Boise, ID 83706-5222 | 2020-10-09 |
| 1750999777 | Deanna Armenia Brent | Social Worker | 7450 W Althea Ct, Boise, ID 83709-1777 | 2020-07-15 |
| 1013533231 | Sylvia Oh | Social Worker | 2118 S Latah St, Boise, ID 83705-3947 | 2020-06-23 |
| 1417577412 | Stacey Titus Pllc | Social Worker | 5440 W Franklin Rd Ste 201, Boise, ID 83705-6434 | 2020-04-20 |
| 1447888656 | Berndt and Associates In Psychcare LLC | Social Worker | 4477 W Emerald St Ste C275, Boise, ID 83706-2078 | 2020-04-01 |
| 1528690773 | Marc Adrian Dominguez | Social Worker | 1299 N Orchard St Ste 110, Boise, ID 83706-2266 | 2020-02-06 |
| 1235774407 | Wildflower Intuitive Center, LLC | Social Worker | 4696 W Overland Rd Ste 276, Boise, ID 83705-2877 | 2019-11-12 |
| 1558903328 | Daring In Idaho, LLC | Social Worker | 413 N Allumbaugh Street, Suite 102, Boise, ID 83704 | 2019-10-14 |
| 1821550203 | Alturas Counseling | Social Worker | 204 S Cole Rd, Boise, ID 83709-0934 | 2019-04-03 |
| 1750859856 | Jani Lynn Belcoe | Social Worker | 3029 N 32nd St, Boise, ID 83703-5001 | 2018-11-06 |
| Find all providers in BOISE | ||||
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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.