Lisa Keller, LMSW-CC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

MC20381 Issued in ME

Practice address

314 Alfred St
Biddeford, ME 04005-3102

Phone

(207) 370-5389

NPI assigned

Aug 19, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Counseling and Trauma Therapy Associates

  • Clinical Social Worker
  • Biddeford, ME
  • NPI 1396264933
  NPD

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

{
    "created_epoch": "1629331200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629331200000",
    "number": "1760158737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "299 BEECH RIDGE RD",
            "city": "SCARBOROUGH",
            "state": "ME",
            "postal_code": "040746108",
            "telephone_number": "207-409-5595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 ALFRED ST",
            "city": "BIDDEFORD",
            "state": "ME",
            "postal_code": "040053102",
            "telephone_number": "207-370-5389"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "LISA",
        "credential": "LMSW-CC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-08-19",
        "last_updated": "2021-08-19",
        "certification_date": "2021-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ME",
            "license": "MC20381",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "lkeller@catt-associates.com",
            "affiliation": "N",
            "address_1": "314 Alfred St",
            "city": "Biddeford",
            "state": "ME",
            "country_code": "US",
            "postal_code": "040053102",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Kass, LCSW
• Vanessa Ann Katon, D.O.
• Stuart W Kay IV, LCSW
• Calina Keating, RN, CCRN-NICU, IBCLC
• Elizabeth Alice Keith, LCSW, LADC, CCS
• Eric Thomas Kellett, MD
• Elizabeth M Kelley, LCSW
• Kaylee Kelley, PT, CLT
• Tammy L Kelley, LCSW, LADC
• Kelsey Lavallee Counseling Services, LLC

• Clinical Social Worker in Biddeford, ME
• Providers in Biddeford, ME by specialty
• Clinical Social Worker in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2021; 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.