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General NPI Number Information
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NPI Number | 1962868158
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Entity Type | Individual
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Provider Name | TRINITY KEENAN LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/05/2016
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Last Update Date | 02/08/2026
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Provider Practice Location Address
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Address Line | 900 WASHINGTON ST E # A
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City | CHARLESTON
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State | WV
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Zip | 25301-1766
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Country | US
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Telephone | 304-837-2243
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Fax | 304-510-4778
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Provider Business Mailing Address
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Address Line | PO BOX 131
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City | MOUNT CARBON
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State | WV
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Zip | 25139-0131
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Country | US
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Telephone | 304-553-9796
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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 | DP00943183
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License Number State | WV
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