MRS. JILL NICOLE KELLER MSSA, LSW
NPI 1225512981
Social Worker in Wooster, OH

Q: What is Jill Keller's NPI number?

The NPI number for Jill Keller is 1225512981. It was assigned to this individual provider in the NPPES registry on September 19, 2018.

Q: What is Jill Keller's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Jill Keller was last updated on January 20, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 19, 2018PECOS EnrolledAccepts Medicare Assignment

2587 BACK ORRVILLE RD, WOOSTER, OH 44691(330) 264-9597(330) 264-0946 Get Directions Write a Review

NPPES record last updated: January 20, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Jan 20, 2021, Sep 19, 2018 (2 updates tracked since 2018).

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About Mrs. Jill Nicole Keller Mssa, Lsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JILL NICOLE KELLER MSSA, LSW (NPI 1225512981) is an individual social worker in Wooster, Ohio, licensed in Ohio (S2105821) and active in the NPI registry since September 2018. She is enrolled in Medicare PECOS and is a graduate of Other (2020).

NPPES Registry Identity

NPI1225512981

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMRS. JILL NICOLE KELLERCredential: MSSA, LSW

Location Address2587 BACK ORRVILLE RDWooster, OH 44691-9523

Mailing Address2587 Back Orrville RdWooster, OH 44691-9523 · (330) 264-9597 · Fax (330) 264-0946

Phone(330) 264-9597

Fax(330) 264-0946

Sole ProprietorNo

Medical School CMSOtherGraduated 2020

Enumeration DateSeptember 19, 2018

Last NPPES UpdateJanuary 20, 20212 updates tracked since enumeration

NPPES CertifiedJanuary 20, 2021

✔ NPI 1225512981 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

Licenses✔ Licensed in OH · S2105821✔ Licensed in OH · S1800589TRNE

Definition

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.

2587 BACK ORRVILLE RD, Wooster, OH 44691

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, CareSource, MedMutual and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Mrs. Jill Nicole Keller Mssa, Lsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID1658737671

PECOS Enrollment IDI20230517003028

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. JOSEPH N MESSNER MA, LPCC-S

Counselor (Professional)