KRISTEN MARY KELLER (NPI# 1730706490) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730706490 |
| Entity Type | Individual |
| Full Name | KRISTEN MARY KELLER |
| Credential | LCSW |
| Practice Address |
440 West St Ste 312 Fort Lee NJ 07024-5028 |
| Mailing Address |
709 Hickory Hill Rd Wyckoff NJ 07481-1623 |
| Practice Telephone | 2018353804 |
| Mailing Telephone | 2018353804 |
| Enumeration Date | 2020-06-29 |
| Last Update Date | 2020-06-29 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05929500 | NJ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780190769 | Kristen M Keller | Student in an Organized Health Care Education/Training Program | 187 W Schrock Rd, Westerville, OH 43081-2890 | 2017-12-28 |
| 1437686375 | Kristen Helene Keller | Physician Assistant | 1985 Jefferson Davis Hwy, Fredericksburg, VA 22401-6233 | 2017-05-22 |
| 1619319753 | Kristen Jo Keller | Nurse Practitioner | 5757 W Thunderbird Rd Ste E456, Glendale, AZ 85306-4650 | 2013-07-17 |
| 1205119021 | Kristen L Keller | Counselor | 26 Mount Zion Rd, York, PA 17402-2601 | 2011-09-28 |
| 1992088405 | Kristen Keller | Social Worker | 5 Market Sq, Suite 5b, Amesbury, MA 01913-2497 | 2011-09-21 |
| 1881973717 | Kristen Sue Keller | Counselor | 360 Peak One Dr, Ste 110, Frisco, CO 80443 | 2011-08-09 |
| Street Address |
440 WEST ST STE 312 |
| City | FORT LEE |
| State | NJ |
| Zip Code | 07024-5028 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821530148 | Avita Integrative Care, LLC | Psychologist | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2016-11-17 |
| 1639794514 | Kaitlin Diaz | Social Worker | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2020-06-16 |
| 1053959742 | Sara Ashley Phillips | Social Worker | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2019-12-13 |
| 1295204550 | Karin Gepp | Psychologist | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2018-11-16 |
| 1568938736 | Nicole Mendicino | Social Worker | 440 West St Ste 312, Fort Lee, NJ 07024-5028 | 2018-10-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043828726 | You S Jung | Pharmacist | 1275 15th Street Apt 2e, Fort Lee, NJ 07024 | 2020-07-17 |
| 1205316528 | Professional Orthopedic and Sports Therapy of Nj, LLC | Physical Therapist | 2200 Fletcher Ave Ste 505, Fort Lee, NJ 07024 | 2018-08-16 |
| 1194210138 | Hyunjoo Lee | Pharmacy | 168 Fletcher Ave, Fort Lee, NJ 07024 | 2018-06-22 |
| 1912423724 | Fort Lee Health Supplies | Durable Medical Equipment & Medical Supplies | 96 Linwood Plaza Rte 9 W, Fort Lee, NJ 07024 | 2017-08-15 |
| 1669997482 | Jinseok Woo | Acupuncturist | 6 Horizon Rd., Apt 2504, Fort Lee, NJ 07024 | 2017-08-14 |
| 1578083705 | Sheran Rey | Licensed Vocational Nurse | 6308 Hilltop Ct, Fort Lee, NJ 07024 | 2017-06-20 |
| 1558812909 | Jian Cui | Acupuncturist | 500 Linwood Drive Apt3c, Fort Lee, NJ 07024 | 2016-10-20 |
| 1013392919 | Yulong Yang | Internal Medicine | 2083 Center Ave Ste 2a, Fort Lee, NJ 07024 | 2015-07-22 |
| 1235561796 | Anthony Lucev | Student in an Organized Health Care Education/Training Program | 233 Harmon Ave, Fort Lee, NJ 07024 | 2013-08-06 |
| 1811331598 | Bridgeview Rehabilitation and Medical Arts Center | Physical Medicine & Rehabilitation | 454 Main Street 3rd Floor, Fort Lee, NJ 07024 | 2013-04-24 |
| Find all providers in zip 07024 | ||||
| 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 |
|---|---|---|---|---|
| 1437757994 | Diana Roman | Social Worker | 4305 Crest Ln, Fort Lee, NJ 07024-2232 | 2020-10-15 |
| 1679045652 | So Young Lee | Social Worker | 100 Old Palisade Rd Apt 606, Fort Lee, NJ 07024-7013 | 2019-01-01 |
| 1518343375 | Christina H. Lee | Social Worker | 2160 N Central Rd Ste 205b, Fort Lee, NJ 07024-7523 | 2015-08-04 |
| 1386030450 | Ilse M Gomez-avila | Social Worker | 1450 Westgate Dr, Fort Lee, NJ 07024-2171 | 2015-04-15 |
| 1750775946 | Aba Group Practice Pa | Social Worker | 1564 Lemoine Ave, Fort Lee, NJ 07024-5635 | 2015-03-25 |
| 1639414881 | Counsel Nj LLC | Social Worker | 1605 John St Ste 207, Fort Lee, NJ 07024-2550 | 2012-11-29 |
| 1962713693 | Angelina Valentin | Social Worker | 1 Bridge Plz N Ste 214, Fort Lee, NJ 07024-7101 | 2010-06-28 |
| 1710129382 | Heather Ann Christensen | Social Worker | 1241 Anderson Ave, #36, Fort Lee, NJ 07024-1777 | 2009-03-29 |
| 1932389855 | Center for Human Growth & Devlp | Social Worker | 1640 Anderson Avenue, Fort Lee, NJ 07024 | 2007-11-08 |
| 1346307782 | Judith Fichtenholtz | Social Worker | 1567 Palisades Ave, Suite 2c, Fort Lee, NJ 07024 | 2007-01-03 |
| Find all providers in FORT LEE | ||||
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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.