Provider Demographics
NPI:1780472514
Name:KEEFER, JILL P (LMSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:P
Last Name:KEEFER
Suffix:
Gender:
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:676 FAYETTE ST
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-2743
Mailing Address - Country:US
Mailing Address - Phone:240-727-9568
Mailing Address - Fax:
Practice Address - Street 1:676 FAYETTE ST
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-2743
Practice Address - Country:US
Practice Address - Phone:240-727-9568
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD32223104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker