Healthcare Provider Details

I. General information

NPI: 1396706602
Provider Name (Legal Business Name): DENIS J O'KEEFE LCSW, PHD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/29/2006
Last Update Date: 05/09/2023
Certification Date: 05/09/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

142A MAIN ST
HIGHLAND FALLS NY
10928-1520
US

IV. Provider business mailing address

68 LONG HILL RD
HIGHLAND MILLS NY
10930-6010
US

V. Phone/Fax

Practice location:
  • Phone: 845-446-9013
  • Fax: 845-446-0057
Mailing address:
  • Phone: 845-446-9013
  • Fax: 845-446-0057

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number064355
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: