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

Theresa A Keane, LCSW-R

Individual provider Clinical Social Worker · NPI 1104382969

Theresa A Keane, LCSW-R is a Clinical Social Worker in Smithtown, New York. Practices as a sole proprietor. Licensed in New York.

Licensed in
NY
In the registry since
2019

Practice location Address checks out

285 Middle Country Rd # LL5
Smithtown, NY 11787-2978
Phone: (631) 724-0600
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence RO52037-1 (NY)

Record details

NPI number1104382969
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW-R
Sole proprietorYes
NPI enumeratedFebruary 18, 2019
Last updated in NPPESFebruary 18, 2019

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