Colleen Keller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

097530 Issued in NY

Practice address

38 E Main St
Trumansburg, NY 14886-9335

Phone

(607) 205-8508

NPI assigned

Jun 14, 2022

Last updated

Sep 24, 2025By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 12, 2023 through Apr 12, 2027

Medicare enrollment (NPD)

Not 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.

• Colleen Keller LCSW PLLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Trumansburg, NY
  • NPI 1801752225
  NPD Authorized official

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758672000000",
    "number": "1477283315",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 524",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148860524",
            "telephone_number": "607-205-8508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "38 E MAIN ST",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148869335",
            "telephone_number": "607-205-8508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "COLLEEN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-06-14",
        "last_updated": "2025-09-24",
        "certification_date": "2025-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "097530",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrea Louise Isacks, LCSW-R
• Bryan L Isacks Jr., M.S., L.AC.
• Ithaca Alpha House Center, Inc. (Cayuga Addiction Recovery Services Residential Program)
• Alison D James, OTR
• Sharlyn Joan Keegan, M.S, CCC/SLP
• Amanda B King, M.S. CCC-SLP
• Sheila Kissiloff, LCSW
• David Kooperman, MSW
• KPH Healthcare Services, Inc. (Kinney Drugs #71)
• David John Kuranda, MD

• Clinical Social Worker in Trumansburg, NY
• Providers in Trumansburg, 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 Sep 24, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.