Marisa Allyson Keller

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

085229-1 Issued in NY

Practice address

84 Henry St Apt 3B
Brooklyn, NY 11201-1712

Phone

(415) 516-5391

NPI assigned

Aug 29, 2019

Sex

Female

Sole proprietor

Yes

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

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": "1567036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1567036800000",
    "number": "1972151355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "84 HENRY ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011712",
            "telephone_number": "415-516-5391"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "84 HENRY ST APT 3B",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112011712",
            "telephone_number": "415-516-5391"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KELLER",
        "first_name": "MARISA",
        "middle_name": "ALLYSON",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-08-29",
        "last_updated": "2019-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "085229-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keller Chiropractic of Crown Heights LLC.
• Keller Chiropractic of Williamsburg LLC.
• Chava M Keller
• Eric Lawrence Keller, D.O
• Helena Keller, PA
• Melinda C Keller, DC
• Rivka Keller
• Rochel Keller
• Shira Keller, MHC
• Armin K Kelleter, PH.D.

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2019; 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.