Individual
MR. MARTIN KEANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MSSW, APSW, LCSW
Contact information
Practice address
6417 ODANA RD, MADISON, WI 53719-1110
(608) 442-1637
Mailing address
6417 ODANA RD, MADISON, WI 53719-1110
(608) 442-1637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
2151-121
WI
1041C0700X
Clinical Social Worker
7248-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43591600
—
WI
Enumeration date
09/30/2006
Last updated
09/11/2025
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