Individual provider · Type 1 NPI

Elizabeth Coburn Keller, MS, LICSW

Clinical Social Worker · Northampton, MA

NPI number 1083704423 Active

Practice location

25 Main St, Suite #218
Northampton, MA 01060-3109

Mailing address

14 Dudleyville Rd
Leverett, MA 01054-9717

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X111353 (MA)

Clinical Social Worker: 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 interpers…

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About NPI 1083704423

Elizabeth Coburn Keller, MS, LICSW's National Provider Identifier is 1083704423, issued on Oct 14, 2006. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Northampton, MA. The record was last updated on Jul 8, 2007.