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RAVEN T. O'ROURKE KEOHAN LCSW
NPI 1477989713
Social Worker - Clinical in Nashville, TN

Active since September 18, 2013Opted out of Medicare · through Feb 1, 2028
719 THOMPSON LANE, SUITE 37189, NASHVILLE, TN 37204(615) 285-9134 Get Directions Write a Review

NPPES record last updated: March 8, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Raven T. O'rourke Keohan Lcsw NPPES

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

RAVEN T. O'ROURKE KEOHAN LCSW (NPI 1477989713) is an individual clinical provider in Nashville, Tennessee, licensed in Tennessee (5966) and active in the NPI registry since September 2013. She has opted out of Medicare through February 1, 2028.

NPPES Registry Identity

NPI1477989713
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameRAVEN T. O'ROURKE KEOHANCredential: LCSW
Location Address719 THOMPSON LANE, SUITE 37189Nashville, TN 37204
Mailing Address401 South Mount Juliet Road Suite 235, #170Mt. Juliet, TN 37122-3616 · (615) 285-9134
Phone(615) 285-9134
Sole ProprietorNo
Enumeration DateSeptember 18, 2013
Last NPPES UpdateMarch 8, 2024
NPPES CertifiedMarch 6, 2024
✔ NPI 1477989713 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in TN · 5966
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.
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 5966 (TN)
719 THOMPSON LANE, Nashville, TN 37204
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Other Names 1

Professional Name (2)Raven Taylor O'rourke Lcsw

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Raven T. O'rourke Keohan Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from February 1, 2024 through February 1, 2028.

Opt-Out Effective DateFebruary 1, 2024
Opt-Out In Effect ThroughFebruary 1, 2028Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 7

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

DR. YANA VAYSBERG M.D.
Student in an Organized Health Care Education/Training Program
719 THOMPSON LANE, SUITE 24100
NASHVILLE, TN 37204
Davidson County (615) 971-7365
MS. LEILANI JANE MASON CNM
Advanced Practice Midwife
719 THOMPSON LANE, SUITE 27100
NASHVILLE, TN 37204
Davidson County (615) 875-0636
DR. ERIN DENISE BOYD M.D.
Pediatrics (Adolescent Medicine)
719 THOMPSON LANE, SUITE 36300
NASHVILLE, TN 37204
Davidson County (615) 936-8200
CAREFLUENT CONNECT, LLC
Durable Medical Equipment & Medical Supplies
719 THOMPSON LANE, SUITE 23210
NASHVILLE, TN 37204
Davidson County (615) 322-3010
ANNA W MORAD MD
Pediatrics
719 THOMPSON LANE, SUITE 30330
NASHVILLE, TN 37204
Davidson County (615) 936-6093
DR. SOHA SUMANCHANDRA PATEL M.D., M.S., M.S.P.H.
Obstetrics & Gynecology (Maternal & Fetal Medicine)
719 THOMPSON LANE
NASHVILLE, TN 37204
Davidson County (615) 936-2000
DONNA S HUMMELL MD
Pediatrics (Pediatric Allergy/Immunology)
719 THOMPSON LANE
NASHVILLE, TN 37204
Davidson County (615) 322-3000

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 Raven O'rourke Keohan's NPI number?

The NPI number for Raven O'rourke Keohan is 1477989713. It was assigned to this individual provider in the NPPES registry on September 18, 2013. The provider is also known as Raven Taylor O'rourke Lcsw.

Where is Raven O'rourke Keohan located?

Raven O'rourke Keohan practices at 719 Thompson Lane Suite 37189, Nashville, TN 37204. The listed phone number is (615) 285-9134.

What is Raven O'rourke Keohan's specialty?

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

Is Raven O'rourke Keohan enrolled in Medicare?

No. Raven O'rourke Keohan has opted out of Medicare through February 1, 2028. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Raven O'rourke Keohan was last updated on March 8, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.