Individual provider · Type 1 NPI

Kristen Mary Keller, LCSW

Clinical Social Worker · Fort Lee, NJ

NPI number 1730706490 Active

Practice location

440 West St Ste 312
Fort Lee, NJ 07024-5028

Mailing address

709 Hickory Hill Rd
Wyckoff, NJ 07481-1623

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X44SC05929500 (NJ)

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 1730706490

Kristen Mary Keller, LCSW's National Provider Identifier is 1730706490, issued on Jun 29, 2020. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fort Lee, NJ. The record was last updated on Jun 29, 2020.