Individual provider Active NPI

Lauri Lynn Keller, LMSW

  • Clinical Social Worker
  • Ann Arbor, MI
National Provider Identifier
1669656153
Registry record updated Apr 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801088821 Issued in MI
Practice address
3820 Packard St Ste 160
Ann Arbor, MI 48108-5000
Phone
(810) 423-1008
Fax
(734) 997-5055
NPI assigned
Dec 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 24, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 6801088821 MI Primary

Addresses

Primary practice location

3820 Packard St Ste 160
Ann Arbor, MI 48108-5000

Mailing address

976 Devonshire CT
Brighton, MI 48116-1707
Phone (810) 423-1008

Other practice location 1

2200 Genoa Business Park Dr Ste 100
Brighton, MI 48114-5328
Phone (517) 882-3732

Other identifiers 1

IdentifierTypeStateIssuer
1942507579MedicaidMI

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL laurilynnkeller.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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 1

Enrollment IDStateProvider typePAC IDDetails
I20150427001374 MI Practitioner - Clinical Social Worker 6901125806 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
University of Michigan Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Downriver Mental Health Clinic PCGroup PAC ID 7911995139, 289 clinicians

Practice addresses (Care Compare)

2200 Genoa Business Park Dr
Suite 100
Brighton, MI 48114-5328
Phone (810) 494-7180

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801088821MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Lauri L Keller, LMSW Clinical Current Accepting new patients

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": "1198108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776988800000",
    "number": "1669656153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "976 DEVONSHIRE CT",
            "city": "BRIGHTON",
            "state": "MI",
            "postal_code": "481161707",
            "telephone_number": "810-423-1008",
            "fax_number": "810-225-2474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3820 PACKARD ST STE 160",
            "city": "ANN ARBOR",
            "state": "MI",
            "postal_code": "481085000",
            "telephone_number": "810-423-1008",
            "fax_number": "734-997-5055"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2200 Genoa Business Park Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Brighton",
            "state": "MI",
            "postal_code": "481145328",
            "country_code": "US",
            "telephone_number": "517-882-3732",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LAURI",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-12-20",
        "last_updated": "2026-04-24",
        "certification_date": "2026-04-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801088821",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1942507579",
            "state": "MI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laurilynnkeller.com",
            "affiliation": "N",
            "endpointDescription": "Private Practice Location",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3820 Packard St Ste 160",
            "city": "Ann Arbor",
            "state": "MI",
            "country_code": "US",
            "postal_code": "481085000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Ann Arbor, MI

Sources for this page

Verify at the official NPI Registry.