Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Nathan Keedy, LICSW

Individual provider Clinical Social Worker · NPI 1841245693

Nathan Keedy, LICSW is a Clinical Social Worker in Worcester, Massachusetts. Qualified in 1977, 49 years ago. Practices with Jonathan Rothman MD, a 5-clinician group and offers telehealth. Licensed in Massachusetts.

Years since qualifying
49
Licensed in
MA
In the registry since
2006
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

100 Century Dr
Worcester, MA 01606
Phone: (508) 762-5400
Fax: (508) 762-5410
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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 101228 (MA)

Record details

NPI number1841245693
Entity typeIndividual (Type 1)
GenderMale
Credentials LICSW
Sole proprietorNo
NPI enumeratedMay 23, 2006
Last updated in NPPESNovember 29, 2020
Certification dateNovember 29, 2020

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1977 (49 years in practice)
Group practice Jonathan Rothman Md — 5 clinicians
Accepts Medicare assignment Not indicated
TelehealthOffers telehealth services
Practice locations2 on file with Medicare

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