Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHELLY D KELLER, LCSW
Active Sole ProprietorSHELLY D KELLER, LCSW is a Clinical Social Worker healthcare provider located in LAKE WINNEBAGO, Missouri. NPI 1063642700 is currently active in the NPPES registry. Verify at CMS.
Clinical Social Worker · LAKE WINNEBAGO, MO
Registration Details
- NPI Number
- 1063642700
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 15, 2009 (17.058608003903 yrs)
- Last Updated
- Jul 15, 2009
- License
-
2009014918 (MO)
- Sole Proprietor
- Yes
Practice Information
- Address
-
120 CHEROKEE LNLAKE WINNEBAGO, MO, 640349304Browse MO providers · Browse ZIP 64034
- Phone
- 8166239711
- Primary Specialty
-
Clinical Social Worker
1041C0700X
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.