Individual provider · Type 1 NPI

Katherine Maurine Keller, L.C.S.W.

Clinical Social Worker · Prescott, AZ

NPI number 1629213202 Active

Practice location

500 Highway 89 North, Northern Arizona Va Health Care System
Prescott, AZ 86313

Mailing address

PO Box 87329
Phoenix, AZ 85080-7329

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XLCS 6116 (CA)
Clinical Social Worker 1041C0700X00122-C (NV)

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 1629213202

Katherine Maurine Keller, L.C.S.W.'s National Provider Identifier is 1629213202, issued on Dec 10, 2008. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Prescott, AZ. The record was last updated on Dec 10, 2008.