Active NPIIndividual provider

Jessica Clark-Keeler, LICSW

Social Worker, Clinical in Rutland, Vermont

NPI Number1336570886
Practice location
160 Allen St, Rutland, VT 05701-4560
Fax
—
Last updated
May 12, 2016

Jessica Clark-Keeler is a Social Worker, Clinical based in Rutland, VT. Jessica Clark-Keeler practices in Rutland, VT and has the professional credentials of LICSW. The NPI Number for Jessica Clark-Keeler is 1336570886 and holds a License No. 890097518 (VT). The current practice location address for Jessica Clark-Keeler is 160 Allen St, Rutland, VT 05701-4560 and can be reached out via phone at 802-775-7111.

Provider Profile Details

NPI Number
1336570886
Provider Name
Jessica Clark-Keeler
Credential
LICSW
Provider Entity Type
Individual
Gender
Female
Address
160 Allen St, Rutland, VT 05701-4560
Phone Number
802-775-7111
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
December 10, 2013
Last Update Date
May 12, 2016
NPI Status
Active

Provider Business Practice Location Address Details

Address
160 Allen St
Rutland, VT 05701-4560
State
Vermont
Zip
05701-4560
Phone Number
802-775-7111
Rutland, VT 05701Get directions →

Provider Business Mailing Address Details

Address
441 Edmunds RD
Danby, VT 05739-9308
City
Danby
State
VT
Zip
05739-9308
Phone Number
802-293-5345

License Information

License Number
890097518
License State
VT
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 Jessica Clark-Keeler, LICSW?

The NPI number of Jessica Clark-Keeler, LICSW is 1336570886. It was assigned on December 10, 2013 and is currently active in the NPPES registry.

What is the specialty of Jessica Clark-Keeler, LICSW?

Jessica Clark-Keeler, LICSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in VT under license number 890097518.

Where does Jessica Clark-Keeler, LICSW practice?

The practice location is 160 Allen St, Rutland, VT 05701-4560. The office can be reached at 802-775-7111 (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 1336570886 directly on the NPPES registry website.

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