Reyna Keller, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

SW18944 Issued in FL

Practice address

1245 David Porter Rd Apt B
Key West, FL 33040-7784

Phone

(305) 680-6581

NPI assigned

Aug 11, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

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.

• Rise Mind Therapy LLC

  • Social Worker
  • Margate, FL
  • NPI 1265294102

  Addiction (Substance Use Disorder)

  NPD Authorized official

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706227200000",
    "number": "1861868002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7940 FRONT BEACH RD STE 95267",
            "city": "PANAMA CITY BEACH",
            "state": "FL",
            "postal_code": "324074817",
            "telephone_number": "305-680-6581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 DAVID PORTER RD APT B",
            "city": "KEY WEST",
            "state": "FL",
            "postal_code": "330407784",
            "telephone_number": "305-680-6581"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "REYNA",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-08-11",
        "last_updated": "2024-01-26",
        "certification_date": "2024-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "VA",
            "license": "CADC1363",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904013413",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW18944",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Kaci Kane, MSN, APRN, FNP-C
• Robert Kane, PA
• Nancy Jean Kaplitz, MD PA
• Carol R Keahey, MS, LPC
• Maria Margaret Therese Kehoe, APRN
• Samantha Kelly, BS
• Kevin William Kemner, D.C.
• Kenneth W Gerard MD PHD PA
• Guy Paul Kenny, APRN
• Key Bridge GP Inc

• Clinical Social Worker in Key West, FL
• Providers in Key West, FL by specialty
• Clinical Social Worker in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2024; 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.