Individual provider · Type 1 NPI

Johnathan Jacob Keisel

Clinical Social Worker · Aurora, CO

NPI number 1629128137 Active · reactivated Feb 21, 2024

Practice location

1700 North Wheeling St # A1-116E
Aurora, CO 80045-7211

Mailing address

1700 Wheeling St # A1-116E
Aurora, CO 80045-7211

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XCSW.09927288 (CO)

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 1629128137

Johnathan Jacob Keisel's National Provider Identifier is 1629128137, issued on Jan 10, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Aurora, CO. The record was last updated on Feb 26, 2024.