RAVEN T. O'ROURKE KEOHAN LCSW
NPI 1477989713
Social Worker - Clinical in Nashville, TN

NPI Status: Active since September 18, 2013

Contact Information

719 THOMPSON LANE
SUITE 37189
NASHVILLE, TN
ZIP 37204
Phone: (615) 285-9134

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  • Individual
  • Female
  • Social Worker
  • Clinical
  • Opted-Out Medicare

About RAVEN O'ROURKE KEOHAN

This page provides the complete NPI Profile along with additional information for Raven O'rourke Keohan, a provider established in Nashville, Tennessee with a medical specialization in Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1477989713 assigned on September 2013. The practitioner's primary taxonomy code is 1041C0700X with license number 5966 (TN). The provider is registered as an individual and her NPI record was last updated one year ago.

NPI
1477989713
Provider Name
RAVEN T. O'ROURKE KEOHAN LCSW
Other Name
RAVEN TAYLOR O'ROURKE LCSW
Other Name Type
Professional Name (2)
Gender
Female
Entity Type
Individual
Location Address
719 THOMPSON LANE SUITE 37189 NASHVILLE, TN 37204
Location Phone
(615) 285-9134
Mailing Address
401 SOUTH MOUNT JULIET ROAD SUITE 235 #170 MT. JULIET, TN 37122
Mailing Phone
(615) 285-9134
Is Sole Proprietor?
No
Enumeration Date
09-18-2013
Last Update Date
03-08-2024
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A clinical social worker like Raven O'rourke Keohan is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Raven O'rourke Keohan opted out of Medicare effective on 02-01-2024 until 02-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare and cannot order and refer services to other healthcare providers.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
License No.
5966
License State
TN
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1101YM0800XBehavioral Health & Social Service Providers

Counselor
Mental Health

5966 (TN)

Medicare Participation & PECOS Enrollment Status

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • Opted-Out of Medicare? Yes

  • Opt-Out Effective Date: 02-01-2024

  • Opt-Out End Date: 02-01-2026

  • Eligible to Order and Refer? No

Reviews for RAVEN T. O'ROURKE KEOHAN LCSW

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1477989713
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
241471881872
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 1 + 4 + 7 + 1 + 8 + 8 + 1 + 8 + 7 + 2 + 24 = 77
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 77 = 33

The NPI number 1477989713 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 8 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1619585072CAREFLUENT CONNECT, LLC
Organization
Durable Medical Equipment & Medical Supplies719 THOMPSON LANE SUITE 23210
NASHVILLE, TN 37204
(615) 322-3010
1063861953DR. YANA VAYSBERG M.D.
Individual
Student in an Organized Health Care Education/Training Program719 THOMPSON LANE SUITE 24100
NASHVILLE, TN 37204
(615) 971-7365
1518099902MS. LEILANI JANE MASON CNM
Individual
Advanced Practice Midwife719 THOMPSON LANE SUITE 27100
NASHVILLE, TN 37204
(615) 875-0636
1518225770DR. ERIN DENISE BOYD M.D.
Individual
Pediatrics (Adolescent Medicine)719 THOMPSON LANE SUITE 36300
NASHVILLE, TN 37204
(615) 936-8200
1669525416 ANNA W MORAD MD
Individual
Pediatrics719 THOMPSON LANE SUITE 30330
NASHVILLE, TN 37204
(615) 936-6093
1699064840DR. SOHA SUMANCHANDRA PATEL M.D., M.S., M.S.P.H.
Individual
Obstetrics & Gynecology (Maternal & Fetal Medicine)719 THOMPSON LANE
NASHVILLE, TN 37204
(615) 936-2000
1801988233 DONNA S HUMMELL MD
Individual
Pediatrics (Pediatric Allergy/Immunology)719 THOMPSON LANE
NASHVILLE, TN 37204
(615) 322-3000
1568868180 CAITLIN E LEGEAY PA-C
Individual
Physician Assistant719 THOMPSON LANE SUITE 23108
NASHVILLE, TN 37204
(615) 936-2000

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1477989713, enumerated in the NPI registry as an "individual" on September 18, 2013

The provider is located at 719 Thompson Lane Suite 37189 Nashville, Tn 37204 and the phone number is (615) 285-9134

The provider's speciality is Social Worker with taxonomy code 1041C0700X with a focus in Clinical

No, the provider signed an affidavit on February 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until February 01, 2026.

This NPI record was last updated on September 18, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.