Individual provider Active NPI

Douglas Keller

  • Social Worker
  • Cherry Hill, NJ
National Provider Identifier
1851844021
Registry record updated May 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
44SL07179100 Issued in NJ
Practice address
1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763
Phone
(609) 424-1333
Fax
(856) 424-7384
NPI assigned
Jul 25, 2016
Last updated
May 22, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2025

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 44SL07179100 NJ Primary

Addresses

Primary practice location

1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763

Mailing address

1301 Springdale Rd Ste 150
Cherry Hill, NJ 08003-2763
Phone (609) 304-7754

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
44SL07179100NJMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1469404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1747872000000",
    "number": "1851844021",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD STE 150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "609-304-7754",
            "fax_number": "856-424-7384"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SPRINGDALE RD STE 150",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032763",
            "telephone_number": "609-424-1333",
            "fax_number": "856-424-7384"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "DOUGLAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-07-25",
        "last_updated": "2025-05-22",
        "certification_date": "2025-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL07179100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2025; 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.