MATTHEW RYAN KELLER MSW, LICSW
NPI 1336664614
Social Worker - Clinical in Crookston, MN

Q: What is Matthew Keller's NPI number?

The NPI number for Matthew Keller is 1336664614. It was assigned to this individual provider in the NPPES registry on August 8, 2017.

Q: What is Matthew Keller's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Matthew Keller was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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 August 08, 2017PECOS EnrolledAccepts Medicare Assignment

603 BRUCE ST, CROOKSTON, MN 56716(218) 281-3940(218) 281-6261 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

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About Matthew Ryan Keller Msw, Licsw NPPES

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

MATTHEW RYAN KELLER MSW, LICSW (NPI 1336664614) is an individual clinical provider in Crookston, Minnesota, licensed in Minnesota (24371) and active in the NPI registry since August 2017. He is enrolled in Medicare PECOS and is a graduate of Other (2014).

NPPES Registry Identity

NPI1336664614

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameMATTHEW RYAN KELLERCredential: MSW, LICSW

Location Address603 BRUCE STCrookston, MN 56716-2914

Mailing Address603 Bruce StCrookston, MN 56716-2914 · (218) 281-3940 · Fax (218) 281-6261

Phone(218) 281-3940

Fax(218) 281-6261

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateAugust 8, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1336664614 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 MN · 24371

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.

603 BRUCE ST, Crookston, MN 56716

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross Blue Shield of North Dakota, HealthPartners, Medica 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

Matthew Ryan Keller Msw, 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 ID5799048500

PECOS Enrollment IDI20180409002074, I20200504002323

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834

Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.

49 services11 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 56716 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 $56.00 – $168.28

Typical copayment $0.00 (range $14.00 – $42.07)

Most-billed visit code NA

Established Patient

$69.74 typical visit price

range $18.32 – $138.04

Typical copayment $17.43 (range $4.58 – $34.51)

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.

DENISE ELAINE HAMMER LICSW

Social Worker (Clinical)