National Provider Identifier

Colleen Keller, LCSW

Colleen Keller, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Trumansburg, NY and a listed phone number of (607) 205-8508.

NPI 1477283315Trumansburg, NYClinical Social Worker

Profile Overview

NPI
1477283315
Provider Type
Individual
Primary Specialty
Clinical Social Worker
Enumeration Date
June 14, 2022
Last Updated
September 24, 2025

Practice Location

  • 38 E Main St
  • Trumansburg, NY 14886-9335

Phone: (607) 205-8508

Mailing Address

  • PO Box 524
  • Trumansburg, NY 14886-0524

Specialties

  • Clinical Social Worker (1041C0700X)
Full Record
NPI
1477283315
Entity Type
Individual
Last Name
Keller
First Name
Colleen
Credential
LCSW
Mailing Street Address
PO Box 524
Mailing City
Trumansburg
Mailing State
NY
Mailing ZIP Code
14886-0524
Mailing Country
US
Mailing Phone
(607) 205-8508
Practice Street Address
38 E Main St
Practice City
Trumansburg
Practice State
NY
Practice ZIP Code
14886-9335
Practice Country
US
Practice Phone
(607) 205-8508
Enumeration Date
June 14, 2022
Last Updated
September 24, 2025
Sex
Female
Sole Proprietor
Yes
Taxonomy Group 1
193400000X Single Specialty Group
Certification Date
September 24, 2025
updated_by_file
npidata_pfile_20050523-20260308.csv
Taxonomies
Clinical Social Worker (1041C0700X)