Shelly D Keller, LCSW is a
Social Worker - Clinical based in Lake Winnebago, Missouri. Shelly D Keller is licensed to practice in Missouri (license number 2009014918) and her current practice location is
120 Cherokee Ln, Lake Winnebago, Missouri. She can be reached at her office (for appointments etc.) via phone at
(816) 623-9711.
NPI number for Shelly D Keller is 1063642700 and her current mailing address is 120 Cherokee Ln, Lake Winnebago, Missouri. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1063642700.
Healthcare Provider's Profile
Full Name | Shelly D Keller |
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Gender | Female |
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Speciality | Social Worker - Clinical |
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Location | 120 Cherokee Ln, Lake Winnebago, Missouri |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1063642700
- Provider Enumeration Date: 07/15/2009
- Last Update Date: 07/15/2009
Medical Identifiers
Medical identifiers for Shelly D Keller such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1063642700 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
1041C0700X | Social Worker - Clinical | 2009014918 (Missouri) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Shelly D Keller is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Shelly D Keller, LCSW 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 Ph: (816) 623-9711 | Shelly D Keller, LCSW 120 Cherokee Ln, Lake Winnebago, MO 64034-9304 Ph: (816) 623-9711 |
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