Provider Demographics
NPI:1396706602
Name:O'KEEFE, DENIS J (LCSW, PHD)
Entity type:Individual
Prefix:MR
First Name:DENIS
Middle Name:J
Last Name:O'KEEFE
Suffix:
Gender:M
Credentials:LCSW, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:68 LONG HILL RD
Mailing Address - Street 2:
Mailing Address - City:HIGHLAND MILLS
Mailing Address - State:NY
Mailing Address - Zip Code:10930-6010
Mailing Address - Country:US
Mailing Address - Phone:845-446-9013
Mailing Address - Fax:845-446-0057
Practice Address - Street 1:142A MAIN ST
Practice Address - Street 2:
Practice Address - City:HIGHLAND FALLS
Practice Address - State:NY
Practice Address - Zip Code:10928-1520
Practice Address - Country:US
Practice Address - Phone:845-446-9013
Practice Address - Fax:845-446-0057
Is Sole Proprietor?:Yes
Enumeration Date:2006-03-29
Last Update Date:2023-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0643551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN32B61Medicare ID - Type Unspecified
NYQ56132Medicare UPIN