Active NPIIndividual provider

Mrs. Keana Fairfax, MSW, LCSW

Social Worker, Clinical in Gloucester City, New Jersey

NPI Number1588376891
Practice location
535 Monmouth St, Gloucester City, NJ 08030-1502
Fax
—
Last updated
August 21, 2026

Keana Fairfax is a Social Worker, Clinical based in Gloucester City, NJ. Keana Fairfax practices in Gloucester City, NJ and has the professional credentials of MSW, LCSW. The NPI Number for Keana Fairfax is 1588376891 and holds a License No. 44SC06000000 (NJ). The current practice location address for Keana Fairfax is 535 Monmouth St, Gloucester City, NJ 08030-1502 and can be reached out via phone at 609-920-3848.

Provider Profile Details

NPI Number
1588376891
Provider Name
Keana Fairfax
Credential
MSW, LCSW
Provider Entity Type
Individual
Gender
Female
Address
535 Monmouth St, Gloucester City, NJ 08030-1502
Phone Number
609-920-3848
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Other Names
Ms. Keana Reed, MSW, LCSW (Former Name)
Provider Enumeration Date
December 19, 2022
Last Update Date
August 21, 2026
Certification Date
August 21, 2026
NPI Status
Active

Provider Business Practice Location Address Details

Address
535 Monmouth St
Gloucester City, NJ 08030-1502
Zip
08030-1502
Phone Number
609-920-3848
Gloucester City, NJ 08030Get directions →

Provider Business Mailing Address Details

Address
535 Monmouth St
Gloucester City, NJ 08030-1502
City
Gloucester City
State
NJ
Zip
08030-1502
Phone Number
609-920-3848

License Information

License Number
44SC06000000
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Mrs. Keana Fairfax, MSW, LCSW?

The NPI number of Mrs. Keana Fairfax, MSW, LCSW is 1588376891. It was assigned on December 19, 2022 and is currently active in the NPPES registry.

What is the specialty of Mrs. Keana Fairfax, MSW, LCSW?

Mrs. Keana Fairfax, MSW, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC06000000.

Where does Mrs. Keana Fairfax, MSW, LCSW practice?

The practice location is 535 Monmouth St, Gloucester City, NJ 08030-1502. The office can be reached at 609-920-3848 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1588376891 directly on the NPPES registry website.

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