Provider Demographics
NPI:1659882553
Name:KEYS, DAVID PHILIP (LCSW, CAADC, MBA)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:PHILIP
Last Name:KEYS
Suffix:
Gender:M
Credentials:LCSW, CAADC, MBA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:272 HAYS RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15241-1813
Mailing Address - Country:US
Mailing Address - Phone:724-963-7761
Mailing Address - Fax:
Practice Address - Street 1:272 HAYS RD
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15241-1813
Practice Address - Country:US
Practice Address - Phone:724-963-7761
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-18
Last Update Date:2019-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WVDP009451801041C0700X
PACW0196061041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical