Charmaine W Keller, ,LICSW,LCSW, CAP

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW7591 Issued in FL

Practice address

24 Opera House SQ # 409
Claremont, NH 03743-5408

Phone

(727) 481-3581

Fax

(603) 413-4848

NPI assigned

Apr 2, 2007

Last updated

Jan 6, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in FL, VT, NH3 enrollments

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 3

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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

• Springfield Medical Care Systems Inc.

  • Federally Qualified Health Center (FQHC)
  • Springfield, VT
  • NPI 1730336843
  Medicare reassignment
• Sage Program, LLC

  • Community/Behavioral Health Agency
  • Newport, NH
  • NPI 1558752972
  Authorized official Same address or phone
• Dr Karen Reese

  dba The Joint Spinal Center

  • Chiropractor
  • St Petersburg, FL
  • NPI 1851400048
  NPD (past)

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672963200000",
    "number": "1417078064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 PARK ST UNIT 101",
            "city": "NEWPORT",
            "state": "NH",
            "postal_code": "037738038",
            "telephone_number": "727-481-3581",
            "fax_number": "603-413-4848"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 OPERA HOUSE SQ # 409",
            "city": "CLAREMONT",
            "state": "NH",
            "postal_code": "037435408",
            "telephone_number": "727-481-3581",
            "fax_number": "603-413-4848"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "145 Pine Haven Shores Rd Ste 1000A",
            "address_purpose": "LOCATION",
            "city": "Shelburne",
            "state": "VT",
            "postal_code": "054827812",
            "country_code": "US",
            "telephone_number": "727-481-3581",
            "fax_number": "603-413-4848",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1225 1/2 11th St N",
            "address_purpose": "LOCATION",
            "city": "Saint Petersburg",
            "state": "FL",
            "postal_code": "337051042",
            "country_code": "US",
            "telephone_number": "727-481-3581",
            "fax_number": "603-413-4848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "CHARMAINE",
        "middle_name": "W",
        "name_prefix": "Ms.",
        "credential": ",LICSW,LCSW, CAP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-02",
        "last_updated": "2023-01-06",
        "certification_date": "2023-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "FL",
            "license": "CAP 2177",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW7591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lori Betina Kast, NP
• Jaspaljeet Kaur
• Keady Family Practice, LLC
• Anna Keady, PA
• Tracy Keenan, OTRL
• Sarah Jean Kennell
• Bethany Klebes
• Clara Knapp, RN
• Eric L. Knight, MD
• Joanne Knowlton, LMT

• Clinical Social Worker in Claremont, NH
• Providers in Claremont, NH by specialty
• Clinical Social Worker in New Hampshire

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.