Healthcare Provider Details

I. General information

NPI: 1619046828
Provider Name (Legal Business Name): KAREN KEEFE LCSW, CASAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

239 GOLDEN HILL LN
KINGSTON NY
12401-6441
US

IV. Provider business mailing address

43 SPRING ST
KINGSTON NY
12401-6320
US

V. Phone/Fax

Practice location:
  • Phone: 845-340-4153
  • Fax: 845-340-4094
Mailing address:
  • Phone: 845-331-8761
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number3188
License Number StateNY
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR055234-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: