Healthcare Provider Details

I. General information

NPI: 1407227671
Provider Name (Legal Business Name): SARAH MARIE O'KEEFFE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/14/2015
Last Update Date: 06/12/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1050 S ACADEMY BLVD STE 140
COLORADO SPRINGS CO
80910-3922
US

IV. Provider business mailing address

3205 N ACADEMY BLVD STE 130
COLORADO SPRINGS CO
80917-5152
US

V. Phone/Fax

Practice location:
  • Phone: 719-452-0012
  • Fax:
Mailing address:
  • Phone: 719-344-6873
  • Fax: 719-344-7865

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW.09924059
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: