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

Thomas H Keenan

Individual provider Clinical Social Worker · NPI 1013883669

Thomas H Keenan is a Clinical Social Worker in East Peoria, Illinois. Qualified in 2022, 4 years ago. Works from 2 locations. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2025
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Practice location Address checks out

156 Baker St
East Peoria, IL 61611-2212
Phone: (309) 229-9373
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7625 N University St, Peoria, IL 61614-1253 — (309) 676-0538

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 149.030006 (IL)

Record details

NPI number1013883669
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 13, 2025
Last updated in NPPESOctober 13, 2025
Certification dateOctober 12, 2025
Mailing address156 Baker St, East Peoria, IL 61611-2212

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Other providers in East Peoria