Active NPIIndividual provider

Kristen M Keller, LCSW

Social Worker, Clinical in Fort Lee, New Jersey

NPI Number1730706490
Practice location
440 West St Ste 312, Fort Lee, NJ 07024-5028
Fax
—
Last updated
June 29, 2020

Kristen Mary Keller is a Social Worker, Clinical based in Fort Lee, NJ. Kristen Mary Keller practices in Fort Lee, NJ and has the professional credentials of LCSW. The NPI Number for Kristen Mary Keller is 1730706490 and holds a License No. 44SC05929500 (NJ). The current practice location address for Kristen Mary Keller is 440 West St Ste 312, Fort Lee, NJ 07024-5028 and can be reached out via phone at 201-835-3804.

Provider Profile Details

NPI Number
1730706490
Provider Name
Kristen Mary Keller
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
440 West St Ste 312, Fort Lee, NJ 07024-5028
Phone Number
201-835-3804
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
No
Provider Enumeration Date
June 29, 2020
Last Update Date
June 29, 2020
Certification Date
June 29, 2020
NPI Status
Active

Provider Business Practice Location Address Details

Address
440 West St Ste 312
Fort Lee, NJ 07024-5028
Zip
07024-5028
Phone Number
201-835-3804
Fort Lee, NJ 07024Get directions →

Provider Business Mailing Address Details

Address
709 Hickory Hill RD
Wyckoff, NJ 07481-1623
City
Wyckoff
State
NJ
Zip
07481-1623
Phone Number
201-835-3804

License Information

License Number
44SC05929500
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 Kristen M Keller, LCSW?

The NPI number of Kristen M Keller, LCSW is 1730706490. It was assigned on June 29, 2020 and is currently active in the NPPES registry.

What is the specialty of Kristen M Keller, LCSW?

Kristen M Keller, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC05929500.

Where does Kristen M Keller, LCSW practice?

The practice location is 440 West St Ste 312, Fort Lee, NJ 07024-5028. The office can be reached at 201-835-3804 (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 1730706490 directly on the NPPES registry website.

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