Amanda Leigh Keller, LCSW-R

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

082531 Issued in NY

Practice address

5 Southside Drive
Suite 11-131
Clifton Park, NY 12065-2466

Phone

(518) 906-9116

NPI assigned

Mar 26, 2013

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• The Practice of Amanda Keller, LCSW, PLLC

  • Clinical Social Worker
  • Clifton Park, NY
  • NPI 1053065169
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1364256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1639008000000",
    "number": "1336481571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 SOUTHSIDE DRIVE",
            "address_2": "SUITE 11-131",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652466",
            "telephone_number": "518-906-9116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 SOUTHSIDE DRIVE",
            "address_2": "SUITE 11-131",
            "city": "CLIFTON PARK",
            "state": "NY",
            "postal_code": "120652466",
            "telephone_number": "518-906-9116"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "AMANDA",
        "middle_name": "LEIGH",
        "credential": "LCSW-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-03-26",
        "last_updated": "2021-12-09",
        "certification_date": "2021-12-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "082531",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Marie Kauffman, CCC-SLP
• Kawola-McAdam Audiology
• Kate Kawola-McAdam, AU.D.
• Valerie Keefer, LMHC
• Ruth Ellen Kelleher, N.P.
• David J. Kelley, PH.D.
• Mikayla Nicole Kelley, PT, DPT
• Lisa Kelly, MACCCSLP
• Matthew Kyran Kelly
• Rachel Kelly

• Clinical Social Worker in Clifton Park, NY
• Providers in Clifton Park, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.