Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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John Keane IV, LMSW, BA

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1679900765

John Keane IV, LMSW, BA is an Addiction (Substance Use Disorder) Counselor in Waterbury, Connecticut. Licensed in Connecticut. Registered with an NPI since 2013.

Licensed in
CT
In the registry since
2013
Specialties on file
3
What do these letters mean?
LMSW — Licensed Master Social Worker
A master's-level social worker, usually practising under supervision.
BA — Bachelor of Arts
An undergraduate arts degree.

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Practice location Address checks out

402 E Main St Waterbury Op Adult Services
Waterbury, CT 06702-1701
Phone: (203) 755-1143
Fax: (203) 755-1447
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X
Social Worker Taxonomy 104100000X · Licence 2166 (CT)

Record details

NPI number1679900765
Entity typeIndividual (Type 1)
GenderMale
Credentials LMSW , BA
Sole proprietorNo
NPI enumeratedOctober 3, 2013
Last updated in NPPESJune 2, 2020
Certification dateJune 2, 2020

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