MRS. JOYCE B KEOHAN (LICSW) – Clinical Social Worker, NPI 1174539902

MRS. JOYCE B KEOHAN (LICSW) is a healthcare provider. based in Kingston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 105902 (MA). The NPI Number for MRS. JOYCE B KEOHAN (LICSW) is 1174539902

Main info

Female
Sole Proprietor
44 Years Of Experience
Accepts Medicare Assignment
Name
MRS. JOYCE B KEOHAN (LICSW)
NPI
1174539902
Phone
(781) 585-9300
Address
62 MAIN ST
Enumeration Date
1 August 2006
Last Update Date
3 April 2015

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6178471950
Graduation Year
1982 (44 years ago)
PAC ID
2860417250
Group Practice PAC ID
4082508429
Professional Enrollment ID
I20051014000306
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for MRS. JOYCE B KEOHAN (LICSW)

  • 62, Main Street, Rocky Nook, Kingston, Plymouth County, Massachusetts, 02364, United States

    KINGSTON, MA 023643046

    Phone: (781) 585-9300

    Fax: (781) 585-9302

    Mailing address matches the actual address.

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: 2005-10-14

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051014000306IClinical Social WorkerMATBD

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.

Verify on CMS Revalidation Lookup Tool

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 02364)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082508429View full group profile
NameSpecialtyState
Certified Clinical Nurse Specialist (Cns)MA
-MA
-MA
Clinical Social WorkerMA
-MA
-MA
Clinical PsychologistMA
Mental Health CounselorMA
-MA
Clinical Social WorkerMA

Reviews

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Frequently asked questions

What federal number belongs to MRS. JOYCE B KEOHAN (LICSW)?
The federal identifier for MRS. JOYCE B KEOHAN (LICSW) is NPI 1174539902.
Is MRS. JOYCE B KEOHAN (LICSW)'s enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
What does MRS. JOYCE B KEOHAN (LICSW) treat or focus on?
Patients typically see MRS. JOYCE B KEOHAN (LICSW) under the specialty Clinical Social Worker. Clinical services aligned with this taxonomy classification.
What location shows for MRS. JOYCE B KEOHAN (LICSW)?
We surface Kingston, Massachusetts for MRS. JOYCE B KEOHAN (LICSW) based on available NPPES addresses.
How can I contact MRS. JOYCE B KEOHAN (LICSW)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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