JOHN KEANE IV LMSW,BA
NPI 1679900765
Social Worker - Clinical in Waterbury, CT

Q: What is John Keane's NPI number?

The NPI number for John Keane is 1679900765. It was assigned to this individual provider in the NPPES registry on October 3, 2013.

Q: What is John Keane's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for John Keane was last updated on June 2, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since October 03, 2013PECOS Enrolled

402 E MAIN ST, WATERBURY OP ADULT SERVICES, WATERBURY, CT 06702(203) 755-1143(203) 755-1447 Get Directions Write a Review

NPPES record last updated: June 2, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jun 2, 2020, Aug 29, 2016, May 9, 2016 (3 updates tracked since 2016).

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About John Keane Iv Lmsw,ba NPPES

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

JOHN KEANE IV LMSW,BA (NPI 1679900765) is an individual clinical provider in Waterbury, Connecticut and active in the NPI registry since October 2013. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1679900765

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameJOHN KEANE IVCredential: LMSW,BA

Location Address402 E MAIN ST, WATERBURY OP ADULT SERVICESWaterbury, CT 06702-1701

Mailing Address141 E Main St, 4th Floor AdministrationWaterbury, CT 06702-2310 · (203) 574-9000 · Fax (203) 574-9006

Phone(203) 755-1143

Fax(203) 755-1447

Sole ProprietorNo

Enumeration DateOctober 3, 2013

Last NPPES UpdateJune 2, 20203 updates tracked since enumeration

NPPES CertifiedJune 2, 2020

✔ NPI 1679900765 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

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 · Addiction (Substance Use Disorder)Taxonomy 101YA0400X

Also ListedSocial WorkerTaxonomy 104100000X · License 2166 (CT)

402 E MAIN ST, Waterbury, CT 06702

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Other Identifiers 13

OtherPENDINGCT · Cigna Behavioral Health

OtherNOT ELIGIBLECT · Mhn Managed Health Network

Other060669107CT · Ubh-oxford Freedom/liberty

Other060669107CT · Anthem Behavioral Health Wellmore Grp/facility

OtherD339123 WATERBURYCT · Beacon Health Strategies

OtherNOT ELIGIBLECT · Mhn Tricare North

Medicaid008064408CT

Other13671836CT · Caqh

Other060669107CT · Ubh-united Healthcare

Other060669107CT · Optum Behavioral Health/ubh Wellmore Grp/facility

OtherPENDINGCT · Aetna Behavioral Health

Other060669107CT · Ubh-connecticare Wellmore Grp/facility

Other060669107CT · Healthyct Wellmore Grp/facility

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

John Keane Iv Lmsw,ba is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 06702 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.

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