MRS. JACLYN MICHELLE KELLER (NPI# 1144751710) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144751710 |
| Entity Type | Individual |
| Full Name | MRS. JACLYN MICHELLE KELLER |
| Credential | LMSW |
| Practice Address |
21476 N John Wayne Pkwy Maricopa AZ 85139-8983 |
| Mailing Address |
42267 W Michaels Dr Maricopa AZ 85138-8683 |
| Practice Telephone | 5203166068 |
| Mailing Telephone | 5202555265 |
| Enumeration Date | 2017-03-24 |
| Last Update Date | 2017-03-24 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | LMSW-15572 | AZ | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285080374 | Jaclyn Keller | Specialist | 47 Humphrey Dr, Syosset, NY 11791-4022 | 2016-05-09 |
| 1982066494 | Jaclyn Keller | Hospitalist | 300 Randall Rd, Geneva, IL 60134-4200 | 2016-03-23 |
| 1740662857 | Jaclyn Keller | Radiology | 200 Hawkins Dr, Dept of Radiology, Iowa City, IA 52242-1009 | 2015-06-25 |
| 1154617652 | Jaclyn Ann Keller | Optometrist | 126 Charles St, Oconto, WI 54153-9446 | 2011-06-22 |
| Street Address |
21476 N JOHN WAYNE PKWY |
| City | MARICOPA |
| State | AZ |
| Zip Code | 85139-8983 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073911293 | Empact - Suicide Prevention Center | Community/Behavioral Health | 21476 N John Wayne Pkwy, Suite C101, Maricopa, AZ 85139-8983 | 2014-12-22 |
| 1043773096 | Erin Wilson | Counselor | 21476 N John Wayne Pkwy, Maricopa, AZ 85139-8983 | 2019-04-08 |
| 1598218968 | Mirna Pacheco | Counselor | 21476 N John Wayne Pkwy, Maricopa, AZ 85139-8983 | 2016-08-02 |
| 1881084952 | Amy Coppinger | Counselor | 21476 N John Wayne Pkwy, Maricopa, AZ 85139-8983 | 2015-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538778899 | Star House Bhrf LLC | Clinic/Center | 44796 W Sandhill Road, Maricopa, AZ 85139 | 2020-07-23 |
| 1578020988 | Dentistry At Maricopa, LLC | Dentist | 20046 N. John Wayne Pkwy, Ste 105, Maricopa, AZ 85139 | 2019-02-22 |
| 1043732431 | The Hands of Grace | Case Management | 44570 W Sedona Trl, Maricopa, AZ 85139 | 2017-07-07 |
| 1215466636 | Dustin Jeremy Sowards | Naturopath | 18495 N Miller Way, Maricopa, AZ 85139 | 2017-06-08 |
| 1871029090 | Carolyn Wanyama | Nursing Home Administrator | 44880 W Portabello Road, Maricopa, AZ 85139 | 2017-05-08 |
| 1740638758 | Melissa Marie Trulson | Dentist | 44481 W Honeycutt Rd, Suite 109, Maricopa, AZ 85139 | 2016-05-31 |
| 1093189805 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N John Wayne Parkway, Ste 102, Maricopa, AZ 85139 | 2015-11-17 |
| 1134523079 | Shadale Gillespie | Technician | 45565 W. Rainbow Dr., Maricopa, AZ 85139 | 2014-10-21 |
| 1578964516 | Community Partners Integrated Healthcare, Inc. | Clinic/Center | 20046 N. John Wayne Parkway, Ste. 106-a, Maricopa, AZ 85139 | 2014-09-09 |
| 1104238716 | Jared Kenney | Dentist | 21300 N John Wayne Pkwy Ste 114, Maricopa, AZ 85139 | 2014-05-30 |
| Find all providers in zip 85139 | ||||
| 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 |
|---|---|---|---|---|
| 1932751302 | Jessica Nacole Turner | Social Worker | 41671 W Anne Ln, Maricopa, AZ 85138-9521 | 2019-07-15 |
| 1902396831 | Esther Githogori | Social Worker | 43560 W Cydnee Dr, Maricopa, AZ 85138-8695 | 2018-05-16 |
| 1033636691 | Terrell Donnell Pickett | Social Worker | 22490 N Vanderveen Way, Maricopa, AZ 85138-5569 | 2017-08-24 |
| 1760642995 | Dana Danielle Batiste | Social Worker | 44151 W Yucca Ln, Maricopa, AZ 85238-4025 | 2008-06-11 |
| 1205059003 | Nicole Myhre | Social Worker | 35906 W Merced Street, Maricopa, AZ 85239 | 2007-04-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528667060 | Dustin Wade Wallace | Social Worker | 12475 E Laurel Ln, Scottsdale, AZ 85259-3457 | 2020-10-24 |
| 1124627179 | Elena Andrea Flores | Social Worker | 4253 N Craftsman Ct Ste 11, Scottsdale, AZ 85251 | 2020-10-21 |
| 1174130371 | Tucson Transitions | Social Worker | 719 W 40th St, Tucson, AZ 85713-5834 | 2020-09-30 |
| 1275142341 | Susan Marie Webb | Social Worker | 91 E Joseph Way, Gilbert, AZ 85295-1405 | 2020-07-24 |
| 1366050684 | Danielle Watzek | Social Worker | 18484 N 111th Ct, Surprise, AZ 85378-6952 | 2020-07-22 |
| 1225646508 | Michael E Carr | Social Worker | 15039 W Highland Ave, Goodyear, AZ 85395-6361 | 2020-07-22 |
| 1992313241 | Kristy Lynn Frieden | Social Worker | 1019 N 1st Dr Unit 237a, Phoenix, AZ 85003-1472 | 2020-07-22 |
| 1619585148 | Chelsey Valeri | Social Worker | 8603 E Royal Palm Rd Ste 100b, Scottsdale, AZ 85258-4389 | 2020-07-21 |
| 1609493139 | Peter Vernezze | Social Worker | 10483 E Marquette St, Tucson, AZ 85747-5932 | 2020-06-30 |
| 1407471543 | Vivian Fajardo | Social Worker | 8610 W Paradise Ln, Peoria, AZ 85382-3542 | 2020-06-15 |
| Find all providers with the same taxonomy | ||||
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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.