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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MATTHEW RYAN KELLER, MSW, LICSW

Active

MATTHEW RYAN KELLER, MSW, LICSW is a Clinical Social Worker healthcare provider located in CROOKSTON, Minnesota. NPI 1336664614 is currently active in the NPPES registry. Verify at CMS.

Clinical Social Worker · CROOKSTON, MN

Registration Details

NPI Number
1336664614
Provider Type
Individual
Gender
Male
NPI Issued
Aug 8, 2017 (9.0007619032056 yrs)
Last Updated
Jul 21, 2022
License
24371 (MN)

Practice Information

Address
603 BRUCE ST
CROOKSTON, MN, 567162914
Browse MN providers · Browse ZIP 56716
Phone
2182813940
Fax
2182816261
Primary Specialty
Clinical Social Worker
1041C0700X

Other Clinical Social Worker Providers in CROOKSTON, MN

Name Credential NPI
MRS. SHANNON LEA KRONLUND LICSW 1598734147
MR. DANIEL GREGORY WILSON LICSW 1801855929
MS. NANCY ANN TRICKEY LICSW 1710946835
MS. CAROLYN KAY BERG LICSW 1629037742
MR. MICHAEL RICHARD ANDERSON LICSW 1619936739
MRS. BRENDA MELISSIA ANDERSON LICSW 1366401481
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.