MS. KATHERINE MAURINE KELLER (NPI# 1629213202) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629213202 |
| Entity Type | Individual |
| Full Name | MS. KATHERINE MAURINE KELLER |
| Credential | L.C.S.W. |
| Practice Address |
500 Highway 89 North Northern Arizona Va Health Care System Prescott AZ 86313 |
| Mailing Address |
Po Box 87329 Phoenix AZ 85080-7329 |
| Practice Telephone | 9284454860 |
| Mailing Telephone | 6234347604 |
| Enumeration Date | 2008-12-10 |
| Last Update Date | 2008-12-10 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
00122-C | NV | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS 6116 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568854404 | Katherine Peterson Keller | Internal Medicine | 740 S. Limestone, Room J515, Lexington, KY 40536 | 2015-03-02 |
| 1497187264 | Katherine Elizabeth Keller | Behavioral Analyst | 2 Black Gum Tree Ln, Kings Park, NY 11754-1747 | 2013-08-05 |
| 1427059484 | Katherine Gross Keller | Family Medicine | 1223 Mercy Dr, Muskegon, MI 49444-1829 | 2005-08-02 |
| 1750703260 | Katherine Keller | Nurse Anesthetist, Certified Registered | 1557 Janmar Rd, Snellville, GA 30078-5686 | 2014-01-17 |
| 1356634760 | Katherine Dawn Keller | Family Medicine | 7101 S Padre Island Dr, Corpus Christi, TX 78412-4913 | 2011-05-17 |
| 1306981766 | Katherine Keller | Physical Therapist | 3020 Childrens Way # Mc5068, San Diego, CA 92123-4223 | 2007-02-21 |
| 1689768657 | Katherine Dee Keller | Chiropractor | 204 E Main St, Llano, TX 78643-2061 | 2006-10-03 |
| Street Address |
500 HIGHWAY 89 NORTH NORTHERN ARIZONA VA HEALTH CARE SYSTEM |
| City | PRESCOTT |
| State | AZ |
| Zip Code | 86313 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922039395 | David Duensing | Internal Medicine | 500 Highway 89 North, Prescott, AZ 86313 | 2006-07-05 |
| 1770001687 | Melissa Esther Dicamillo | Pharmacist | 500 Highway 89 North, Prescott, AZ 86313 | 2017-08-31 |
| 1336588920 | Megan Lindsey Goldenstein | Pharmacist | 500 Highway 89 North, Prescott, AZ 86313 | 2013-06-18 |
| 1821244351 | Carol Leigh Roberts | Licensed Practical Nurse | 500 Highway 89 North, Prescott, AZ 86313 | 2008-08-15 |
| 1265608376 | Kathleen B Harris | Licensed Practical Nurse | 500 Highway 89 North, N Az Va Health Care System, Prescott, AZ 86313 | 2008-05-08 |
| 1750315222 | Evelyn Louise Gong | Audiologist | 500 Highway 89 North, Prescott, AZ 86313 | 2006-07-10 |
| 1124050976 | Edward Allen Collacott | Physical Medicine & Rehabilitation | 500 Highway 89 North, Prescott, AZ 86313 | 2006-07-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740896646 | Kelly Anne Brewer | Respiratory Therapist, Registered | 500 N. State Route 89, Cpap Clinic, Prescott, AZ 86313 | 2020-09-17 |
| 1740548908 | Jaiah Townsend | Respiratory Therapist, Registered | 500 Hwy 89n, Northern Arizona Va Hospital, Prescott, AZ 86313 | 2012-04-25 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1740428648 | Ruthie Hunter | Social Worker | 500 North Us Highway 89, Prescott, AZ 86313 | 2009-01-30 |
| 1659586782 | Debra Lea Mcaninch | Nurse Practitioner | 500 Hwy 89 N, Prescott, AZ 86313 | 2007-05-11 |
| 1972697159 | Ted A. Mize I | Physical Therapist | 500 Us Highway 89 North, Prescott, AZ 86313 | 2006-10-03 |
| 1487755393 | Tana Bourdage-allman | Nurse Practitioner | Navahcs 550 North Highway 89, Prescott, AZ 86313 | 2006-09-25 |
| 1497859805 | Denise Perry | Dietitian, Registered | 500 Highway 89n, Va Medical Center, Prescott, AZ 86313 | 2006-09-08 |
| 1609986579 | Jeffrey C. Peters | Pharmacist | 500 N Us Hwy 89, Prescott, AZ 86313 | 2006-08-30 |
| 1578671780 | Debra M Hiller | Nurse Practitioner | Navahcs Highway 89, Prescott, AZ 86313 | 2006-08-28 |
| Find all providers in zip 86313 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164064457 | Veroncia Rose Quezada | Social Worker | 1951 Estrella Rd, Prescott, AZ 86305-5276 | 2019-10-08 |
| 1932759966 | Terri-lynn Stowell | Social Worker | 1000 Ainsworth Dr Ste C-20, Prescott, AZ 86305-1667 | 2019-09-11 |
| 1659845600 | Indira S. Katan | Social Worker | 1905 Begonia Pl, Prescott, AZ 86303-5029 | 2019-01-13 |
| 1023545753 | Lincoln Sperry | Social Worker | 214 N Arizona Ave, Prescott, AZ 86301-3104 | 2017-05-12 |
| 1336670439 | Mary Ellen S Hays | Social Worker | 1560 Eagle Point Dr, Prescott, AZ 86301-5448 | 2017-03-21 |
| 1518407865 | Edward Bylotas | Social Worker | 3550 S Senator Hwy, Unit 14, Prescott, AZ 86303-8430 | 2017-03-06 |
| 1861738908 | Rosaleen Margaret Runnalls | Social Worker | 119 E Goodwin St, Prescott, AZ 86303-3940 | 2012-12-18 |
| 1457604845 | Susan Lynn Brenchley | Social Worker | 1116 W Skyview Dr, Prescott, AZ 86303-5121 | 2012-10-22 |
| 1902174618 | Rebecca Jean West | Social Worker | 500 Az-89, Bldg 155, Prescott, AZ 86313 | 2011-12-08 |
| 1326349440 | Don G Ostendorf | Social Worker | 604 La Corta Ln, Prescott, AZ 86301-1020 | 2010-11-05 |
| Find all providers in PRESCOTT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.