IndividualActive
Andrea Keen-Avery, LCSW
NPI 1073140380 · Clinical Social Worker · Pooler, GA
Provider details
- NPI number
- 1073140380
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- CSW004668 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
184 Sonata Cir
Pooler, GA 31322-4936
Phone: (443) 986-6031
Approximate (ZIP-level) locationGet directions
Mailing address
184 Sonata Cir
Pooler, GA 31322-4936
Registry dates
- Enumerated
- 2020-03-25
- Last updated
- 2020-03-25
- Certified
- 2020-03-25
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.