Individual provider Active NPI

Lauren Nicole Keller

  • Clinical Social Worker
  • Medina, OH
National Provider Identifier
1346726171
Registry record updated Sep 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
815 W Liberty St
Medina, OH 44256-1362
Phone
(440) 600-1900
NPI assigned
Jul 16, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 12, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

815 W Liberty St
Medina, OH 44256-1362

Mailing address

815 W Liberty St
Medina, OH 44256-1362
Phone (440) 600-1900

Other practice location 1

2100 N Ridge Rd
Elyria, OH 44035-1241
Phone (440) 324-1300

Other identifiers 1

IdentifierTypeStateIssuer
2910854MedicaidOH

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250613002546 OH Practitioner - Clinical Social Worker 6406367796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Viaquest Psychiatric & Behavioral Solutions LLC Case Manager/Care Coordinator CurrentSince May 19, 2025 Accepting new patients
Viaquest Psychiatric & Behavioral Solutions LLC CurrentSince May 19, 2025 Accepting new patients

Locations

525 Metro Pl N
Ste 300
Dublin, OH 43017
Phone (614) 336-9600

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1531699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757635200000",
    "number": "1346726171",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "815 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561362",
            "telephone_number": "440-600-1900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 W LIBERTY ST",
            "city": "MEDINA",
            "state": "OH",
            "postal_code": "442561362",
            "telephone_number": "440-600-1900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2100 N Ridge Rd",
            "address_purpose": "LOCATION",
            "city": "Elyria",
            "state": "OH",
            "postal_code": "440351241",
            "country_code": "US",
            "telephone_number": "440-324-1300",
            "fax_number": "440-277-0409",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LAUREN",
        "middle_name": "NICOLE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-07-16",
        "last_updated": "2025-09-12",
        "certification_date": "2025-09-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2910854",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Medina, OH

Sources for this page

Verify at the official NPI Registry.