JESSICA CLARK-KEELER LICSW
NPI 1336570886
Social Worker - Clinical in Rutland, VT

Active since December 10, 2013PECOS EnrolledAccepts Medicare Assignment
160 ALLEN ST, RUTLAND, VT 05701(802) 775-7111 Get Directions Write a Review

NPPES record last updated: May 12, 2016. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jessica Clark-keeler Licsw NPPES

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

JESSICA CLARK-KEELER LICSW (NPI 1336570886) is an individual clinical provider in Rutland, Vermont, licensed in Vermont (890097518) and active in the NPI registry since December 2013. She is enrolled in Medicare PECOS and is a graduate of Other (2004).

NPPES Registry Identity

NPI1336570886
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameJESSICA CLARK-KEELERCredential: LICSW
Location Address160 ALLEN STRutland, VT 05701-4560
Mailing Address441 Edmunds RdDanby, VT 05739-9308 · (802) 293-5345
Sole ProprietorNo
Medical School CMSOtherGraduated 2004
Enumeration DateDecember 10, 2013
Last NPPES UpdateMay 12, 2016
✔ NPI 1336570886 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in VT · 890097518
Definition
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.
160 ALLEN ST, Rutland, VT 05701

Other Identifiers 1

Other0890097518VT · License

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Jessica Clark-keeler Licsw 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 ID2567755242
PECOS Enrollment IDI20160719001892
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.

Medicare Billing Reassignment

Medicare enrollment records show Jessica Clark-keeler reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Psychiatric Unit
160 ALLEN ST
Rutland, VT 05701
  • Reassigned Medicare billing, Vermont enrollment
  • 28 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 05701 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$0.00 typical visit price
range $55.80 – $168.48
Typical copayment $0.00 (range $13.95 – $42.12)
Most-billed visit code NA
Established Patient
$69.56 typical visit price
range $18.08 – $137.84
Typical copayment $17.39 (range $4.52 – $34.46)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

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.

General Acute Care Hospital
160 ALLEN ST
RUTLAND, VT 05701
Pharmacy (Specialty Pharmacy)
160 ALLEN ST
RUTLAND, VT 05701
Hospitalist
160 ALLEN ST
RUTLAND, VT 05701
Internal Medicine
160 ALLEN ST
RUTLAND, VT 05701
Nurse Practitioner (Primary Care)
160 ALLEN ST
RUTLAND, VT 05701
Nurse Practitioner (Psychiatric/Mental Health)
160 ALLEN ST
RUTLAND, VT 05701
Emergency Medicine
160 ALLEN ST
RUTLAND, VT 05701
Speech-Language Pathologist
160 ALLEN ST, SPEECH PATHOLOGY DEPARTMENT
RUTLAND, VT 05701

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jessica Clark-keeler's NPI number?

The NPI number for Jessica Clark-keeler is 1336570886. It was assigned to this individual provider in the NPPES registry on December 10, 2013.

Where is Jessica Clark-keeler located?

Jessica Clark-keeler practices at 160 Allen St, Rutland, VT 05701. The listed phone number is (802) 775-7111.

What is Jessica Clark-keeler's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Jessica Clark-keeler enrolled in Medicare?

Yes. Jessica Clark-keeler is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organization bills Medicare for Jessica Clark-keeler's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jessica Clark-keeler reassigns Medicare benefits to Rutland Hospital, Inc. (Rutland, VT). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jessica Clark-keeler's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Jessica Clark-keeler was last updated on May 12, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.