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NPI Code Detail

MEDICARE: MS. SARAH MARIE O'KEEFFE LCSW

MEDICARE: MS. SARAH MARIE O'KEEFFE 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 WorkerCSW.09924059CO

General Provider Information

NPI Number : 1407227671
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. SARAH MARIE O'KEEFFE LCSW
Provider Business Mailing Address
First Line : 3205 N ACADEMY BLVD
Second Line : STE 130
City : COLORADO SPRINGS
State : CO
Zip : 80917-5152
Country : US
Telephone Number : 719-344-6873
Fax Number : 719-344-7865
Provider Business Practice Location Address
First Line : 1050 S ACADEMY BLVD STE 140
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80910-3922
Country : US
Telephone Number : 719-452-0012
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/14/2015
Last Update Date : 06/12/2018

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