Provider Demographics
NPI:1881431757
Name:MCGEE, KEELY (LCSW)
Entity type:Individual
Prefix:
First Name:KEELY
Middle Name:
Last Name:MCGEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:KEELY
Other - Middle Name:
Other - Last Name:BURNETTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6511 S 5135 W
Mailing Address - Street 2:
Mailing Address - City:WEST JORDAN
Mailing Address - State:UT
Mailing Address - Zip Code:84081-3817
Mailing Address - Country:US
Mailing Address - Phone:360-643-3968
Mailing Address - Fax:
Practice Address - Street 1:4019 W 12600 S STE 200
Practice Address - Street 2:
Practice Address - City:RIVERTON
Practice Address - State:UT
Practice Address - Zip Code:84096-7406
Practice Address - Country:US
Practice Address - Phone:801-217-9600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-09
Last Update Date:2024-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
UT14031628-35011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical