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NPI Lookup from the NPI Registry — National Provider Identifier Database

Contact Information

DAVID J MCKEON, LMSW
11-21 BROADWAY
GLOVERSVILLE, NY12078
 Phone: 518-725-4310
 Fax: 518-725-4310
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for DAVID J MCKEON · (Male)

NPI # 1003029216
Status Active
Credentials LMSW (Licensed Master Social Worker)
Entity Individual
Enumeration date 05/07/2007
Last updated 09/18/2009 - About 10 years ago
Sole proprietor 1 Yes
Identifiers
  • NY License # 074231
  • NY Medicaid 02994425
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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