Keeley Kooken Msw Lcsw LLC
NPI 1194464651ActiveOrganization· Social Worker, Clinical· Monroe, GA
Social Worker, Clinical in Monroe, Georgia, registered in NPPES in June 2022. The authorized official on file is Keeley Kooken, LCSW, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1194464651 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 2, 2022 |
| Last updated in NPPES | Jun 2, 2022 |
| Certified by provider | Jun 2, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (GA) |
|---|
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