Mary Keenan, LCSW
NPI 1063477719 · Clinical Social Worker · Manchester, CT
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Mary Keenan, LCSW is a Clinical Social Worker provider in Manchester, CT (NPI 1063477719).
Provider details
- NPI number
- 1063477719
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- No
- License
- 004136 (CT)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2006-04-18
- Last updated
- 2014-12-11
Frequently asked questions
- What is Mary Keenan's NPI number?
- Mary Keenan's National Provider Identifier (NPI) is 1063477719, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Mary Keenan's specialty?
- Mary Keenan is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Mary Keenan located?
- Mary Keenan's practice location on file with NPPES is 150 N Main St, Manchester, CT 06042-2086.
- What is Mary Keenan's phone number?
- The practice phone number listed in the NPPES registry for Mary Keenan is (860) 533-3434.
- Does Mary Keenan accept Medicare?
- Mary Keenan is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Mary Keenan's NPI active?
- Yes — Mary Keenan's NPI (1063477719) is active in the NPPES registry as of the last update on 2014-12-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.