Provider Demographics
NPI:1841253069
Name:KEENE, ARIANNE (LCSW)
Entity type:Individual
Prefix:
First Name:ARIANNE
Middle Name:
Last Name:KEENE
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 1:300 LONG SHOALS RD APT 5G
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-7719
Mailing Address - Country:US
Mailing Address - Phone:828-242-4815
Mailing Address - Fax:
Practice Address - Street 1:300 LONG SHOALS RD APT 5G
Practice Address - Street 2:
Practice Address - City:ARDEN
Practice Address - State:NC
Practice Address - Zip Code:28704-7719
Practice Address - Country:US
Practice Address - Phone:828-242-4815
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-10
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0007881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6002925Medicaid
NCP00224611OtherPIN MEDICARE RAIL ROAD
NC88961OtherBCBS PROVIDER #
NC6002925Medicaid