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Tristan Glenn Keller, LISW
Clinical Social Worker in Gallup, New Mexico
NPI 1053346171

Tristan Glenn Keller is a Clinical Social Worker based in Gallup, NM and is specialized in Clinical. Tristan Glenn Keller practices in Gallup, NM and has the professional credentials of LISW. The NPI Number for Tristan Glenn Keller is 1053346171 and holds a License No. I-05565 (New Mexico).

The current practice location address for Tristan Glenn Keller is 2025 E Aztec Ave, Gallup, NM and can be reached out via phone at 505-863-3828 and via fax at 505-863-6612.

Location: 2025 E Aztec Ave, Gallup, NM, 87301-5795
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1053346171
Provider Name
Tristan Glenn Keller
Credential
LISW
Provider Entity Type
Individual
Gender
Male
Address
2025 E Aztec Ave, Gallup, NM, 87301-5795
Phone Number
505-863-3828
Fax Number
505-863-6612
Provider Enumeration Date
07/11/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
50526 05 NM
institution
Provider Business Practice Location Address Details
Address
2025 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-863-6612
person
Provider Business Mailing Address Details
Address
2025 E Aztec Ave
City
Gallup
State
New Mexico
Zip
87301-4803
Phone Number
505-863-3828
Fax Number
505-863-6612
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Social Worker
Speciality
Clinical
Taxonomy
1041C0700X
License No.
I-05565 (New Mexico)
Definition
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.
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