Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
TRISTAN GLENN KELLER, LISW
ActiveTRISTAN GLENN KELLER, LISW is a Clinical Social Worker healthcare provider located in GALLUP, New Mexico. NPI 1053346171 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · GALLUP, NM
Registration Details
- NPI Number
- 1053346171
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 11, 2006 (20.066573250733 yrs)
- Last Updated
- Jul 9, 2007
- License
-
I-05565 (NM)
Practice Information
- Address
-
2025 E AZTEC AVEGALLUP, NM, 873014803Browse NM providers · Browse ZIP 87301
- Phone
- 5058633828
- Fax
- 5058636612
- Primary Specialty
-
Clinical Social Worker
1041C0700X
Other Clinical Social Worker Providers in GALLUP, NM
| Name | Credential | NPI |
|---|---|---|
| MS. CAROL A FRAZIER | LICSW, BCD | 1902889389 |
| PAULA STIFLER | LISW | 1962474833 |
| MRS. MARGO MICHELLE PATTERSON | CASE MANAGER | 1730280090 |
| SANDRA ANN GEARY | LCSW | 1972691186 |
| MR. VERNON THOMAS JAQUES | LCSW | 1689746554 |
| MR. JOSEPH MARION LACAYO | LISW | 1992833024 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.