NATHAN KEEDY (LICSW) – Clinical Social Worker, NPI 1841245693

NATHAN KEEDY (LICSW) is a healthcare provider. based in Boston, Massachusetts. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 101228 (MA). The NPI Number for NATHAN KEEDY (LICSW) is 1841245693

Main info

Male
49 Years Of Experience
Name
NATHAN KEEDY (LICSW)
NPI
1841245693
Phone
(800) 225-8885
Address
PO BOX 415348
Enumeration Date
23 May 2006
Last Update Date
29 November 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
5087915540
Graduation Year
1977 (49 years ago)
PAC ID
9537193230
Group Practice PAC ID
7719936905
Professional Enrollment ID
I20050922000228
Address ID
MA015811768WE154XXSTXX400
Telehealth
Yes

Contacts

Secure Messaging
nkeedy22994@UmassMemorial.direct-ci.com
FHIR Endpoint
https://epicproxy.et0978.epichosted.com/FHIRProxy/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience64
Completeness85
Years active:20State licenses:1Other namesUpdated within 12 months

4,194 CLINICAL SOCIAL WORKER in MA

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Provider Addresses for NATHAN KEEDY (LICSW)

  • PO Box 846028, Albany Street, Church Green, Financial District, Boston, Suffolk County, Massachusetts, 02284-6028, United States

    BOSTON, MA 022415348

    Phone: (800) 225-8885

    Fax: (508) 334-1977

    Type: Mailing

  • Hospital for Behavioral Medicine, 100, Century Drive, Worcester, Worcester County, Massachusetts, 01653, United States

    WORCESTER, MA 01606

    Phone: (508) 762-5400

    Fax: (508) 762-5410

    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: 2005-09-22

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
I20050922000228IClinical 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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90832Psychotherapy, 30 minutes23424$0
90834Psychotherapy, 45 minutes14720$0
View full utilization report →

Insurance plans in this area (ZIP 02241)

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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: 7719936905View full group profile

Reviews

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Frequently asked questions

How do payers reference NATHAN KEEDY (LICSW)?
For NATHAN KEEDY (LICSW), use NPI 1841245693 as the unique 10-digit identifier.
Is NATHAN KEEDY (LICSW) shown as active in public data?
Registry records indicate NATHAN KEEDY (LICSW) maintains an active NPI.
What area of care is associated with NATHAN KEEDY (LICSW)?
NATHAN KEEDY (LICSW)'s record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where in Massachusetts is NATHAN KEEDY (LICSW) registered?
Use Boston, Massachusetts as the headline location for NATHAN KEEDY (LICSW) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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