Individual
JONATHAN MICHAEL NATHANIEL KEITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW
Contact information
Practice address
401 E CHESTNUT ST UNIT 610, LOUISVILLE, KY 40202-5711
(502) 588-4450
(502) 588-9539
Mailing address
335 EAGLE LN, NEW ALBANY, IN 47150-6131
(502) 373-6632
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
255584
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100733610
—
KY
Enumeration date
03/31/2021
Last updated
10/06/2025
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