Active NPI
Amber Keeler, MSW, LMSW
- Clinical Social Worker
- Troy, MI
National Provider Identifier
1770954695
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 68011033961
- Practice address
- 1777 Axtell Dr Ste 100
Troy, MI 48084-4400 - Phone
- (248) 862-1171
- NPI assigned
- Oct 19, 2015
- Last updated
- Oct 20, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 6801103961 | MI | |
| Clinical Social Worker | 1041C0700X | 68011033961 | MI | Primary |
Addresses
Primary practice location
1777 Axtell Dr Ste 100
Troy, MI 48084-4400
Mailing address
1661 Farmington Rd
Garden City, MI 48135-1149
Phone (313) 784-8806
Other practice location 1
35640 W Michigan Ave
Wayne, MI 48184-1628
Phone (734) 729-7792
Other practice location 2
13101 Allen Rd
Southgate, MI 48195-2216
Phone (743) 785-7700
Other practice location 3
1661 Farmington Rd
Garden City, MI 48135-1149
Phone (313) 784-8806
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6801103961 | MI | MD | Social Worker |
| 68011033961 | MI | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445212800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666224000000",
"number": "1770954695",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1661 FARMINGTON RD",
"city": "GARDEN CITY",
"state": "MI",
"postal_code": "481351149",
"telephone_number": "313-784-8806"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1777 AXTELL DR STE 100",
"city": "TROY",
"state": "MI",
"postal_code": "480844400",
"telephone_number": "248-862-1171"
}
],
"practiceLocations": [
{
"address_1": "35640 W Michigan Ave",
"address_purpose": "LOCATION",
"city": "Wayne",
"state": "MI",
"postal_code": "481841628",
"country_code": "US",
"telephone_number": "734-729-7792",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13101 Allen Rd",
"address_purpose": "LOCATION",
"city": "Southgate",
"state": "MI",
"postal_code": "481952216",
"country_code": "US",
"telephone_number": "743-785-7700",
"fax_number": "734-287-1680",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1661 Farmington Rd",
"address_purpose": "LOCATION",
"city": "Garden City",
"state": "MI",
"postal_code": "481351149",
"country_code": "US",
"telephone_number": "313-784-8806",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KEELER",
"first_name": "AMBER",
"credential": "MSW, LMSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-10-19",
"last_updated": "2022-10-20",
"certification_date": "2022-10-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MI",
"license": "6801103961",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MI",
"license": "68011033961",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Troy, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.