Keenen Stevenson, is a
Social Worker - Clinical based in Park Ridge, Illinois. Keenen Stevenson is licensed to practice in * (Not Available) (license number ) and his current practice location is
1440 Renaissance Dr Ste 320, Park Ridge, Illinois. He can be reached at his office (for appointments etc.) via phone at
(847) 759-9110.
NPI number for Keenen Stevenson is 1225418973 and his current mailing address is 1440 Renaissance Dr Ste 320, Park Ridge, Illinois. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1225418973.
Healthcare Provider's Profile
Full Name | Keenen Stevenson |
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Gender | Male |
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Speciality | Social Worker - Clinical |
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Location | 1440 Renaissance Dr Ste 320, Park Ridge, Illinois |
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Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1225418973
- Provider Enumeration Date: 06/08/2015
- Last Update Date: 05/27/2024
Medical Identifiers
Medical identifiers for Keenen Stevenson such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1225418973 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Keenen Stevenson is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Keenen Stevenson, 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 | Keenen Stevenson, 1440 Renaissance Dr Ste 320, Park Ridge, IL 60068-1471 Ph: (847) 759-9110 |
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