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General NPI Number Information
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NPI Number | 1972442200
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Entity Type | Organization
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Legal Business Name | TRINITY KEENAN, LICSW, PLLC
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Dates
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Enumeration Date | 03/25/2026
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Last Update Date | 03/25/2026
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Provider Practice Location Address
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Address Line | 303 WASHINGTON ST W OFC 103
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City | CHARLESTON
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State | WV
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Zip | 25302-2230
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Country | US
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Telephone | 304-807-9052
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Fax | 681-245-6240
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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 | 681-245-6240
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Authorized Official
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Title or Position | OWNER/SOLE PROVIDER
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Name | TRINITY KEENAN
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Credential | LICSW
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Telephone | 304-807-9052
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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 |
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License Number State |
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