Katelyn J Keil, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

20081 Issued in MN

Practice address

4500 Park Glen Rd Ste 450
Saint Louis Park, MN 55416-5190

Phone

(952) 444-9744

Fax

(763) 444-9745

NPI assigned

Sep 14, 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

Medicare fee-for-service enrollment

Enrolled in MN

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

Medicare enrollment (NPD)

Enrolled

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.

• Elizabeth Wagner, PSYD, LP, Inc.

  • Clinical Psychologist
  • Saint Louis Park, MN
  • NPI 1740637818
  Medicare reassignment NPD

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

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631577600000",
    "number": "1861162760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 450",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165190",
            "telephone_number": "952-444-9744",
            "fax_number": "763-444-9745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PARK GLEN RD STE 450",
            "city": "SAINT LOUIS PARK",
            "state": "MN",
            "postal_code": "554165190",
            "telephone_number": "952-444-9744",
            "fax_number": "763-444-9745"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KEIL",
        "first_name": "KATELYN",
        "middle_name": "J",
        "credential": "MSW, LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2021-09-14",
        "certification_date": "2021-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "20081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sally Keckeisen
• Shea Keenan
• Preeti M Keer, PT
• Helene Keery, PH.D.
• Evan Jeffrey Keil, MD
• Marian Laura Elizabeth Keillor, MSN, APRN, CNM, CLC
• Noreen Keilty, LICSW
• Sarah Kellen
• Bridget B Keller, M.D.
• James S Keller, OD

• Clinical Social Worker in Saint Louis Park, MN
• Providers in Saint Louis Park, MN by specialty
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.