Provider Demographics
NPI:1528716826
Name:KEANE, SHAWN (MSW)
Entity type:Individual
Prefix:
First Name:SHAWN
Middle Name:
Last Name:KEANE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:143 MUNSON ST
Mailing Address - Street 2:
Mailing Address - City:GREENFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01301-9694
Mailing Address - Country:US
Mailing Address - Phone:413-775-5004
Mailing Address - Fax:
Practice Address - Street 1:143 MUNSON ST
Practice Address - Street 2:
Practice Address - City:GREENFIELD
Practice Address - State:MA
Practice Address - Zip Code:01301-9694
Practice Address - Country:US
Practice Address - Phone:413-775-5000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-15
Last Update Date:2022-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical