Keontae Nichelle Murray
Social Worker, Clinical in Glen Burnie, MD. Individual provider (NPI-1).
NPI number1669985156
StatusActive
Last updated in NPPESNov 7, 2017
Details
- NPI
- 1669985156
- Entity type
- Individual (NPI-1)
- Name
- Keontae Nichelle Murray
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Nov 7, 2017
- Last updated
- Nov 7, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | 20083 | MD | Yes |
Practice location
7310 Ritchie Hwy Ste 1009Glen Burnie, MD 21061-3398
Phone 410-768-5988 · Fax 410-768-5989
Mailing address
7310 Ritchie Hwy Ste 1009Glen Burnie, MD 21061-3398
Phone 410-768-5988 · Fax 410-768-5989
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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