| Doctor Name: | MRS. KEISHA NICOLE SENIOR |
| NPI Number: | 1134303704 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW |
| License Number: | 077636 |
| Business Practice Address: | 1 S Greeley Ave Suite 302 Chappaqua, NY - 105143346 |
| Business Phone Number: | 9142381699 |
| Business Fax Number: | |
| Mailing Address: | 1 S Greeley Ave, Suite 302 CHAPPAQUA |
| State: | NY |
| Postal Code: | 105143346 |
| Phone Number: | 9142381699 |
| Fax Number: | |
| NPI Enumeration Date: | 12/19/2007 |
| NPI Last Update Date: | 04/10/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | 077636 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |