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NPI Code Detail

MEDICARE: MR. JAMES ALLEN KEILMAN JR. LCSW

MEDICARE: MR. JAMES ALLEN KEILMAN JR. LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerCW024238PA

General Provider Information

NPI Number : 1093418923
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. JAMES ALLEN KEILMAN JR. LCSW
Provider Business Mailing Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number : 814-940-7865
Provider Business Practice Location Address
First Line : 2907 PLEASANT VALLEY BLVD
Second Line :
City : ALTOONA
State : PA
Zip : 16602-4305
Country : US
Telephone Number : 814-943-8164
Fax Number : 814-940-7865
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/22/2023
Last Update Date : 01/30/2026

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