Provider Demographics
NPI:1831429877
Name:KEANE, ANA MARIA (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ANA
Middle Name:MARIA
Last Name:KEANE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2601 W 4TH ST
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19805-3309
Mailing Address - Country:US
Mailing Address - Phone:302-655-9624
Mailing Address - Fax:302-654-6432
Practice Address - Street 1:240 N JAMES ST
Practice Address - Street 2:STE 100D
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19804-3167
Practice Address - Country:US
Practice Address - Phone:302-543-4425
Practice Address - Fax:302-543-5124
Is Sole Proprietor?:No
Enumeration Date:2010-01-13
Last Update Date:2018-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ1-00010461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical