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General NPI Number Information
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NPI Number | 1306173125
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Entity Type | Individual
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Provider Name | KEATHER LEE LIKINS MSSW, LCSW
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Gender | Male
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Dates
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Enumeration Date | 11/16/2009
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 1010 DELAFIELD RD
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City | PITTSBURGH
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State | PA
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Zip | 15215-1802
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Country | US
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Telephone | 412-822-2222
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Fax |
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Provider Business Mailing Address
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Address Line | 17125 SHAKES CREEK DR
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City | FISHERVILLE
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State | KY
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Zip | 40023-7790
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Country | US
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Telephone | 412-607-2547
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 255777
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License Number State | KY
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