MS. MARY BRIDGET KEENAN LCSW
NPI 1063477719
Social Worker - Clinical in Manchester, CT

Active since April 18, 2006PECOS EnrolledAccepts Medicare Assignment
150 N MAIN ST, SUITE 130, MANCHESTER, CT 06042(860) 533-3434(860) 647-6829 Get Directions Write a Review

NPPES record last updated: December 11, 2014. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Ms. Mary Bridget Keenan Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. MARY BRIDGET KEENAN LCSW (NPI 1063477719) is an individual clinical provider in Manchester, Connecticut, licensed in Connecticut (004136) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and is a graduate of Other (1994).

NPPES Registry Identity

NPI1063477719
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMS. MARY BRIDGET KEENANCredential: LCSW
Location Address150 N MAIN ST, SUITE 130Manchester, CT 06042-2086
Mailing Address71 Haynes St, Manchester Memorial HospitalManchester, CT 06040-4131 · (860) 647-6832 · Fax (860) 647-6831
Fax(860) 647-6829
Sole ProprietorNo
Medical School CMSOtherGraduated 1994
Enumeration DateApril 18, 2006
Last NPPES UpdateDecember 11, 2014
NPI 1063477719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in CT · 004136
Definition

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.

150 N MAIN ST, Manchester, CT 06042

Other Identifiers 3

Medicare ID-Type Unspecified800002415CT
Medicaid004025177CT
Medicare UPINP12972CT

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Mary Bridget Keenan Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID5092903690
PECOS Enrollment IDI20101227000243
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 06042 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $60.82 – $183.10
Typical copayment $0.00 (range $15.20 – $45.77)
Most-billed visit code NA
Established Patient
$75.55 typical visit price
range $19.76 – $149.26
Typical copayment $18.88 (range $4.94 – $37.31)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
150 N MAIN ST
MANCHESTER, CT 06042
Family Medicine
150 N MAIN ST
MANCHESTER, CT 06042
Counselor (Addiction (Substance Use Disorder))
150 N MAIN ST
MANCHESTER, CT 06042
Social Worker (Clinical)
150 N MAIN ST, 130
MANCHESTER, CT 06042
Social Worker (Clinical)
150 N MAIN ST, SUITE 130
MANCHESTER, CT 06042
Social Worker (Clinical)
150 N MAIN ST, SUITE 130
MANCHESTER, CT 06042
Social Worker
150 N MAIN ST
MANCHESTER, CT 06042
Registered Nurse
150 N MAIN ST, #230
MANCHESTER, CT 06042

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Keenan's NPI number?

The NPI number for Mary Keenan is 1063477719. It was assigned to this individual provider in the NPPES registry on April 18, 2006.

Where is Mary Keenan located?

Mary Keenan practices at 150 N Main St Suite 130, Manchester, CT 06042. The listed phone number is (860) 533-3434.

What is Mary Keenan's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Mary Keenan enrolled in Medicare?

Yes. Mary Keenan is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Mary Keenan was last updated on December 11, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.