DOROTHY JEAN KELLER MSW LCSW NPI 1366525032

NPI Information

NPI: 1366525032
Provider Name: DOROTHY JEAN KELLER, MSW, LCSW
Classification: Counselor - 101Y00000X
Entity Type: Individual
Address:
3470 BLAZER PKWY
LEXINGTON, KY
ZIP 40509
Phone: (859) 323-6021
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Dorothy Jean Keller, MSW, LCSW is a counselor in Lexington, KY. The provider is a provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification. Dorothy Jean Keller, MSW, LCSW NPI is 1366525032. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

3470 BLAZER PKWY
LEXINGTON, KY
ZIP 40509-200
Phone: (859) 323-6021

The enumeration date for this NPI number is 10/24/2006 and was last updated on 4/14/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	0878	KENTUCKY	No
2	101YP2500X	Counselor	Professional	0878	KENTUCKY	No
3	106H00000X	Marriage & Family Therapist		0878	KENTUCKY	No
4	101Y00000X	Counselor		0878	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	0647527	MEDICARE ID-TYPE UNSPECIFIED
2	82000068	MEDICAID	KENTUCKY
3	R57689	MEDICARE UPIN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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