MISS CAROLINE JEANNETTE KELLER (NPI# 1073024907) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073024907 |
| Entity Type | Individual |
| Full Name | MISS CAROLINE JEANNETTE KELLER |
| Credential | LBSW |
| Practice Address |
3865 S Mackinac Trl Sault Sainte Marie MI 49783-9286 |
| Practice Telephone | 9066353754 |
| Practice Fax Number | 9066321163 |
| Mailing Telephone | 9066322805 |
| Mailing Fax Number | 9066321163 |
| Enumeration Date | 2017-10-18 |
| Last Update Date | 2017-10-18 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MI | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306941935 | Caroline S Keller | Obstetrics & Gynecology | 2097 Henry Tecklenburg Dr Ste 312w, Charleston, SC 29414-5744 | 2006-09-14 |
| 1932214947 | Caroline B Keller | Speech-Language Pathologist | 143 Merrimon Ave, Asheville, NC 28801-1815 | 2006-08-20 |
| Street Address |
3865 S MACKINAC TRL |
| City | SAULT SAINTE MARIE |
| State | MI |
| Zip Code | 49783-9286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629161567 | Hiawatha Community Behavioral Health Authority | Community/Behavioral Health | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2006-10-02 |
| 1336758689 | Austin Lowes | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-07-23 |
| 1598381394 | Kayla Davis | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-06-18 |
| 1699313163 | Colton Korhonen | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-16 |
| 1013555895 | Aubree Archer | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-12 |
| 1235776527 | Natalie Olstrom | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
| 1497392799 | Haley Brown | Behavior Technician | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2019-12-05 |
| 1548736176 | Bonita Bundy | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-10-22 |
| 1154811032 | Bradley Benslow | Registered Nurse | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2018-05-16 |
| 1659890812 | Rebecca Evans | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-09-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215541305 | Kevin P Cooper Dds PC | Dentist | 202 Brady Street, Sault Sainte Marie, MI 49783 | 2020-09-04 |
| 1033767512 | Louis William Bergman | Pharmacist | 3763 75 Business Spur, Sault Ste Marie, MI 49783 | 2019-08-28 |
| 1972076818 | Phyllis Mary Robertson | Speech-Language Pathologist | 2472 Ashmun Street, War Memorial Hospital Rehabilitation Centre, Sault Sainte Marie, MI 49783 | 2019-01-03 |
| 1831611748 | Thomas Matthew Choponis | Optometrist | 128 W Spruce St Ste 1, Sault Sainte Marie, MI 49783 | 2017-07-12 |
| 1730633223 | Holly D Statt | Dental Hygienist | 905 Marquette Ave, Sault Sainte Marie, MI 49783 | 2016-08-12 |
| 1316306590 | Debra Joyce Peake | Social Worker | 3865 South Mackinac Trail, Sault Ste Marie, MI 49783 | 2016-02-17 |
| 1629465935 | Jodi Johnson | Occupational Therapy Assistant | 1011 Merridian St, Sault Saint Marie, MI 49783 | 2015-04-24 |
| 1972885606 | Elizabeth Hayes | Social Worker | 3865 S Mackinac Trail, Sault Ste Marie, MI 49783 | 2011-09-20 |
| 1922252618 | Denise L. Montgomery | Registered Nurse | 500 Osborn Blvd., Sault Ste Marie, MI 49783 | 2008-11-08 |
| 1487829826 | Melanie A Cook | Eyewear Supplier (Equipment, not the service) | 1908 Ashman Street, Sault Ste Marie, MI 49783 | 2008-04-28 |
| Find all providers in zip 49783 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336758689 | Austin Lowes | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2020-07-23 |
| 1659890812 | Rebecca Evans | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-09-19 |
| 1467971143 | Megan Billings | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-09-14 |
| 1629597406 | Michael Heisler | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-09-13 |
| 1588183354 | Gregory Edgar Charter | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2017-09-13 |
| 1427574490 | Sheri Lee Royer | Social Worker | 605 E 7th Ave Apt 9, Sault Sainte Marie, MI 49783-3111 | 2017-08-21 |
| 1912457086 | Nicole Straight | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2016-10-12 |
| 1396293437 | Jennifer Randazzo | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2016-09-19 |
| 1992122477 | Shanelle Grove | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2014-03-24 |
| 1912331935 | Elizabeth Eidenier | Social Worker | 3865 S Mackinac Trl, Sault Sainte Marie, MI 49783-9286 | 2013-08-27 |
| Find all providers in SAULT SAINTE MARIE | ||||
| City | SAULT SAINTE MARIE |
| Zip Code | 49783 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.