MS. MARY BRIDGET KEENAN (LCSW) – Clinical Social Worker, NPI 1063477719
Clinical Social Worker
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
2,153 CLINICAL SOCIAL WORKER in CT
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Provider Addresses for MS. MARY BRIDGET KEENAN (LCSW)
Manchester Memorial Hospital, 71, Haynes Street, Manchester, Hartford County, Connecticut, 06040, United States
MANCHESTER MEMORIAL HOSPITAL
MANCHESTER, CT 060404131
Phone: (860) 647-6832
Fax: (860) 647-6831
Type: Mailing
150, Main Street, Manchester, Hillsborough County, New Hampshire, 03102, United States
SUITE 130
MANCHESTER, CT 060422086
Phone: (860) 533-3434
Fax: (860) 647-6829
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
This can happen when there are no reportable CMS Open Payments records.
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2010-12-27
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.
Enrollment records
1
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20101227000243 | I | Clinical Social Worker | CT | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 90832 | Psychotherapy, 30 minutes | 84 | 15 | $0 |
Insurance plans in this area (ZIP 06040)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CLINICAL SOCIAL WORKER | CT | 90853 | Group psychotherapy | 78 | 31 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | CT | |
| - | CT | |
| P S Y C H I A T R Y | CT | |
| - | CT | |
| P S Y C H I A T R Y | CT | |
| - | CT | |
| Nurse Practitioner | MS | |
| P S Y C H I A T R Y | CT | |
| Nurse Practitioner | TX | |
| Mental Health Counselor | CT |
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