KEITH WATKINS (NPI# 1720305220) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720305220 |
| Entity Type | Individual |
| Full Name | KEITH WATKINS |
| Credential | LMSW |
| Practice Address |
1727 N Ocean Ave Medford NY 11763-2649 |
| Mailing Address |
Po Box 6 Brightwaters NY 11718-0006 |
| Practice Telephone | 6316541919 |
| Mailing Telephone | 6316541919 |
| Enumeration Date | 2010-04-23 |
| Last Update Date | 2010-04-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 079475-1 | NY | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | LICENSE # | 079475-1 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043794720 | Keith Watkins | Nursing Care | 205 Aldine St, Rochester, NY 14619-1205 | 2018-09-19 |
| 1194865246 | Keith V Watkins | Dentist | 215 Hallock Rd, Suite 2, Stony Brook, NY 11790-3078 | 2007-02-07 |
| Street Address |
1727 N OCEAN AVE |
| City | MEDFORD |
| State | NY |
| Zip Code | 11763-2649 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952349144 | Jaedu Lee | Psychiatry & Neurology | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2006-06-02 |
| 1518504018 | Nicole Moawad | Registered Nurse | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2019-12-03 |
| 1720621881 | Mackenzie Rodgers | Student in an Organized Health Care Education/Training Program | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2019-10-22 |
| 1316475627 | Judy Joseph | Social Worker | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2017-05-31 |
| 1285171009 | Lauren Lalchand | Social Worker | 1727 N Ocean Ave, Medford, NY 11763 | 2017-01-31 |
| 1619364429 | Vanessa Taboada | Counselor | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2015-04-20 |
| 1992047708 | Frederick Horn | Registered Nurse | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2013-03-19 |
| 1740540699 | Lorraine Baum | Social Worker | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2012-05-25 |
| 1881907483 | Marie Swiderski | Social Worker | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2010-07-23 |
| 1376863696 | Benjamin Clark | Social Worker | 1727 N Ocean Ave, Medford, NY 11763-2649 | 2010-06-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316572027 | Rebecca Molino | Specialist | 9, 3251 Ny-112 #2, Medford, NY 11763 | 2020-03-03 |
| 1295203677 | Hajar Taman | Pharmacist | 2975 Horseblock Road, Medford, NY 11763 | 2018-11-05 |
| 1265917041 | Bay Taxi Inc | Taxi | 36/94 Horseblock Rd, Medford, NY 11763 | 2018-09-27 |
| 1184108383 | Bay Taxi Inc | Taxi | 36/94 Horsblock Road, Medford, NY 11763 | 2018-09-24 |
| 1215419650 | Megan Bell | Speech-Language Pathologist | 135 Buffalo Avenue, Medford, NY 11763 | 2018-09-01 |
| 1922592906 | Elizabeth L Oakley | Specialist | 1 Sprat St, Medford, NY 11763 | 2018-06-21 |
| 1609383389 | Federation of Organizations for The New York State Mentally Disabled | Clinic/Center | 3390 Route 112 Ste B, Medford, NY 11763 | 2018-01-04 |
| 1497109607 | Tabitha Aitken | Massage Therapist | 28 Masem Ct, Medford, NY 11763 | 2016-04-14 |
| 1518326685 | Betty Velez | Specialist | 21 Red Pine Rd, Medford, NY 11763 | 2016-02-18 |
| 1134527054 | Angelo L D'esposito | Social Worker | 77 Robinson Ave, Medford, NY 11763 | 2014-12-09 |
| Find all providers in zip 11763 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174124226 | Shane William Macdonald | Social Worker | 20 Stearns Ave, Medford, MA 02155-5620 | 2020-11-05 |
| 1851925762 | Tracey Marie Damrau | Social Worker | 879 Old Medford Ave, Medford, NY 11763-2660 | 2020-02-29 |
| 1326696261 | Marlee Starr Thompson | Social Worker | 5 High St Ste 1, Medford, MA 02155-3800 | 2019-09-03 |
| 1447810759 | Kescha Murphy | Social Worker | 1735 N Ocean Ave Ste 5, Medford, NY 11763-2671 | 2019-06-18 |
| 1902366198 | Regina Marie Ely | Social Worker | 2799 Medford Ave Ste 11, Medford, NY 11763-2535 | 2019-03-22 |
| 1639654353 | Joan Matteuzzi | Social Worker | 35 Dianne Rd, Medford, MA 02155-1542 | 2018-09-27 |
| 1588161707 | Claudel Chevry | Social Worker | 4 Exchange Ave, Medford, MA 02155-6309 | 2018-04-13 |
| 1316302474 | Nancy Zukowski | Social Worker | 6 Victorian Ln, Medford, NY 11763-2573 | 2015-12-16 |
| 1003283664 | Christina Maria Conforto | Social Worker | 9 Yale St, Apartment 1, Medford, MA 02155-6029 | 2015-08-28 |
| 1093109746 | Maka Osman | Social Worker | 789 Fellsway W, Medford, MA 02155-1217 | 2015-03-20 |
| Find all providers in MEDFORD | ||||
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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.