Individual
MRS. KATHLEEN VERONICA O'KEEFE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
4920 E. MILLRIDGE PARKWAY, SUITE 206, MIDLOTHIAN, VA 23112
(804) 928-4632
(804) 272-1683
Mailing address
16331 DRAGONNADE TRAIL, MIDLOTHIAN, VA 23113
(804) 379-7494
(804) 272-1683
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
0904004365
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007759577
AETNA
VA
01
—
087086M
SENTARA
AL
01
—
11526990
CAQH
VA
01
—
214922
COMPSYCH
VA
01
—
461826
ANTHEM BC/BS
VA
Enumeration date
10/04/2006
Last updated
07/09/2007
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