Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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MS. Mary Bridget Keenan, LCSW

Individual provider Clinical Social Worker · NPI 1063477719

MS. Mary Bridget Keenan, LCSW is a Clinical Social Worker in Manchester, Connecticut. Qualified in 1994, 32 years ago. Practices with Prospect Manchester Hospital Inc, a 21-clinician group and accepts Medicare assignment. Licensed in Connecticut.

Years since qualifying
32
Licensed in
CT
In the registry since
2006
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

150 N Main St Ste 130
Manchester, CT 06042-2086
Phone: (860) 533-3434
Fax: (860) 647-6829
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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 · Licence 004136 (CT)

Record details

NPI number1063477719
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 18, 2006
Last updated in NPPESDecember 11, 2014

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Prospect Manchester Hospital Inc — 21 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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