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Keegan Hackman, LMSW

NPI 1083075840ActiveIndividual· Social Worker, Clinical· Middletown, CT

Social Worker, Clinical (LMSW) with New Vitae Inc, practicing in Middletown, Connecticut. Enrolled in Medicare as practitioner - clinical social worker.

Overview

NPI1083075840
StatusActive
Entity typeIndividual
CredentialLMSW
Sole proprietorYes
NPI issuedMar 8, 2016
Last updated in NPPESMar 8, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Practitioner - Clinical Social Worker (PA)

Medicare sources and data years

Education and affiliations

Graduation year2015
Medicare specialtyClinical Social Worker

Medical group

Source: CMS Care Compare

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