Susan Clark Keller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

582LCSW Issued in MT

Practice address

307 1St Ave East
Ste 3
Kalispell, MT 59901-4965

Phone

(406) 257-3877

Fax

(406) 257-3907

NPI assigned

May 20, 2006

Last updated

Jul 8, 2007By the provider in NPPES

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

Other identifiers 1

Other names 1

• Ms. Susan F Clark Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1148083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1760436125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 1ST AVE EAST",
            "address_2": "STE 3",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-257-3877",
            "fax_number": "406-257-3907"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "307 1ST AVE EAST",
            "address_2": "STE 3",
            "city": "KALISPELL",
            "state": "MT",
            "postal_code": "599014965",
            "telephone_number": "406-257-3877",
            "fax_number": "406-257-3907"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "SUSAN",
        "middle_name": "CLARK",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MT",
            "license": "582LCSW",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0502537",
            "state": "MT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SUSAN",
            "last_name": "CLARK",
            "middle_name": "F",
            "prefix": "MS.",
            "credential": "LCSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Keh Inc
• David C Keim, DDS
• Erin Keithly, CCC-SLP
• Catharine Nicole Keller, PT, DPT
• Joe Keller, LCSW LAC
• Kelly Brewer Counseling, PLLC
• Kelly Redfield MD PC
• Rainy Kemp
• Ken L Jonas M D P C
• Paul James Kenney

• Clinical Social Worker in Kalispell, MT
• Providers in Kalispell, MT by specialty
• Clinical Social Worker in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.