Shelley A Keller, BSW, LMSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

6801103781 Issued in MI

Practice address

310 W Bacon St
Hillsdale, MI 49242-1546

Phone

(517) 437-0990

NPI assigned

Jul 13, 2017

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

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 and National Provider Directory roles.

• Lenawee Community Mental Health Authority

  • Community/Behavioral Health Agency
  • Adrian, MI
  • NPI 1912227570
  NPD (past)

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

{
    "created_epoch": "1499904000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1619499472",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 W BACON ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421546",
            "telephone_number": "517-437-3990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 W BACON ST",
            "city": "HILLSDALE",
            "state": "MI",
            "postal_code": "492421546",
            "telephone_number": "517-437-0990"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SHELLEY",
        "middle_name": "A",
        "credential": "BSW, LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-07-13",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "S.1450670",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801103781",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jon C. Herbener, M.D.,P.C.
• Karen Lindower DO PLLC
• Jeffrey Allen Kauffman, RPH.
• Reggie Robert Kehoe, OTD, OTR/L
• Keith R. Baker MD PC
• Tina Rene Keltner, LLMSW
• Mikayla Kemp
• Kendall J Lee DDS PLLC
• Key Opportunities, Inc
• Cynthia Keyes

• Clinical Social Worker in Hillsdale, MI
• Providers in Hillsdale, MI by specialty
• Clinical Social Worker in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2026; 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.