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MR. KEITH SPENCER BRYAN LCSW
NPI 1871644575
Social Worker - Clinical in Long Beach, NY

Active since January 16, 2007
222 WEST MARKET ST, LONG BEACH, NY 11561(516) 375-0192(516) 889-7899 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mr. Keith Spencer Bryan Lcsw NPPES

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

MR. KEITH SPENCER BRYAN LCSW (NPI 1871644575) is an individual clinical provider in Long Beach, New York, licensed in New York (R0410061) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1871644575
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KEITH SPENCER BRYANCredential: LCSW
Location Address222 WEST MARKET STLong Beach, NY 11561
Mailing Address222 West Market StLong Beach, NY 11561 · (516) 432-1432 · Fax (516) 889-7899
Phone(516) 375-0192
Fax(516) 889-7899
Sole ProprietorNo
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1871644575 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 NY · R0410061
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.
222 WEST MARKET ST, Long Beach, NY 11561
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Other Identifiers 1

Medicare ID-Type UnspecifiedN71891NY

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 Keith Bryan's NPI number?

The NPI number for Keith Bryan is 1871644575. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Keith Bryan located?

Keith Bryan practices at 222 West Market St, Long Beach, NY 11561. The listed phone number is (516) 375-0192.

What is Keith Bryan's specialty?

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

When was this NPI record last updated?

The NPPES record for Keith Bryan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.