Individual provider Active NPI

Melissa M Keller, LCSW

  • Social Worker
  • Metairie, LA
National Provider Identifier
1407479017
Registry record updated May 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
6763 Issued in LA
Practice address
1624 Manson Ave
Metairie, LA 70001-3624
Phone
(504) 259-6190
NPI assigned
May 19, 2020
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 19, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 6763 LA Primary

Addresses

Primary practice location

1624 Manson Ave
Metairie, LA 70001-3624

Mailing address

1624 Manson Ave
Metairie, LA 70001-3624
Phone (504) 259-6190

Other practice location 1

400 Phlox Ave
Metairie, LA 70001-4542
Phone (504) 259-6190

Other practice location 2

501 Manhattan Blvd
Harvey, LA 70058-4443
Phone (504) 259-6190

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
6763LAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Access Health Louisiana Past Accepting new patients
Access Health Louisiana PastSince Jan 26, 2020 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: melissa.keller.1@11331.direct.athenahealth.com

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": "1589846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1589846400000",
    "number": "1407479017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 MANSON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013624",
            "telephone_number": "504-259-6190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 MANSON AVE",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700013624",
            "telephone_number": "504-259-6190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Phlox Ave",
            "address_purpose": "LOCATION",
            "city": "Metairie",
            "state": "LA",
            "postal_code": "700014542",
            "country_code": "US",
            "telephone_number": "504-259-6190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "501 Manhattan Blvd",
            "address_purpose": "LOCATION",
            "city": "Harvey",
            "state": "LA",
            "postal_code": "700584443",
            "country_code": "US",
            "telephone_number": "504-259-6190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MELISSA",
        "middle_name": "M",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-05-19",
        "last_updated": "2020-05-19",
        "certification_date": "2020-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "LA",
            "license": "6763",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2020; 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.