Provider Demographics
NPI:1578013520
Name:O'KEEFE, CARA (LICSW)
Entity Type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:O'KEEFE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:49 PLEASANT ST
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-2435
Mailing Address - Country:US
Mailing Address - Phone:781-335-6000
Mailing Address - Fax:781-340-5358
Practice Address - Street 1:49 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:WEYMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02190-2435
Practice Address - Country:US
Practice Address - Phone:781-335-6000
Practice Address - Fax:781-340-5358
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-13
Last Update Date:2016-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1196171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical