Provider Demographics
NPI:1023337573
Name:O'KEEFE, KAREN M (LCSW-R, CASAC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:M
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:LCSW-R, CASAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Mailing Address - Street 1:998 CROOKED HILL RD
Mailing Address - Street 2:BUILDING 56
Mailing Address - City:W BRENTWOOD
Mailing Address - State:NY
Mailing Address - Zip Code:11717-1019
Mailing Address - Country:US
Mailing Address - Phone:631-761-2177
Mailing Address - Fax:631-761-2282
Practice Address - Street 1:998 CROOKED HILL RD
Practice Address - Street 2:BUILDING 56
Practice Address - City:W BRENTWOOD
Practice Address - State:NY
Practice Address - Zip Code:11717-1019
Practice Address - Country:US
Practice Address - Phone:631-761-2177
Practice Address - Fax:631-761-2282
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-24
Last Update Date:2010-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY049848-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical