Individual provider Active NPI

Elizabeth Sarah Keller, LSW

  • Social Worker
  • Robesonia, PA
National Provider Identifier
1669073979
Registry record updated Feb 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
SW129437 Issued in PA
Practice address
140 W Penn Avenue St 2
Robesonia, PA 19551-2912
Phone
(610) 750-9135
NPI assigned
Nov 3, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 5, 2024

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 SW129437 PA Primary

Addresses

Primary practice location

140 W Penn Avenue St 2
Robesonia, PA 19551-2912

Mailing address

110 Ashley Rd
Sinking Spring, PA 19608-1237
Phone (610) 914-2104

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
SW129437PAMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Furnace Creek Counseling LLC CurrentSince Mar 2, 2024 Accepting new patients

Locations

140 W Penn Ave
#2
Robesonia, PA 19551
Phone (610) 750-9135

Organizations & group practices 1

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": "1604361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707091200000",
    "number": "1669073979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 ASHLEY RD",
            "city": "SINKING SPRING",
            "state": "PA",
            "postal_code": "196081237",
            "telephone_number": "610-914-2104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 W PENN AVENUE ST 2",
            "city": "ROBESONIA",
            "state": "PA",
            "postal_code": "195512912",
            "telephone_number": "610-750-9135"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "ELIZABETH",
        "middle_name": "SARAH",
        "credential": "LSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-03",
        "last_updated": "2024-02-05",
        "certification_date": "2024-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW129437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Robesonia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2024; 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.