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COLLEEN KELLER LCSW
NPI 1477283315
Social Worker - Clinical in Trumansburg, NY

Active since June 14, 2022Opted out of Medicare · through Apr 12, 2027
38 E MAIN ST, TRUMANSBURG, NY 14886(607) 205-8508 Get Directions Write a Review

NPPES record last updated: September 24, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Colleen Keller Lcsw NPPES

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

COLLEEN KELLER LCSW (NPI 1477283315) is an individual clinical provider in Trumansburg, New York, licensed in New York (097530) and active in the NPI registry since June 2022. She has opted out of Medicare through April 12, 2027.

NPPES Registry Identity

NPI1477283315
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCOLLEEN KELLERCredential: LCSW
Location Address38 E MAIN STTrumansburg, NY 14886-9335
Mailing AddressPo Box 524Trumansburg, NY 14886-0524 · (607) 205-8508
Phone(607) 205-8508
Sole ProprietorYes
Enumeration DateJune 14, 2022
Last NPPES UpdateSeptember 24, 2025
NPPES CertifiedSeptember 24, 2025
✔ NPI 1477283315 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 NY · 097530
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.
38 E MAIN ST, Trumansburg, NY 14886
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

ⓘ

Opted out of Medicare

Colleen Keller Lcsw has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from April 12, 2023 through April 12, 2027.

Opt-Out Effective DateApril 12, 2023
Opt-Out In Effect ThroughApril 12, 2027Opt-out affidavits renew automatically every two years unless cancelled

Other Providers at the Same Location NPPES 2

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

WHITNEY SIMONE MD
Psychiatry & Neurology (Psychiatry)
38 E MAIN ST
TRUMANSBURG, NY 14886
Tompkins County (607) 275-4541
COLLEEN KELLER LCSW PLLC
Clinic/Center (Mental Health (Including Community Mental Health Center))
38 E MAIN ST
TRUMANSBURG, NY 14886
Tompkins County (607) 205-8505

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 Colleen Keller's NPI number?

The NPI number for Colleen Keller is 1477283315. It was assigned to this individual provider in the NPPES registry on June 14, 2022.

Where is Colleen Keller located?

Colleen Keller practices at 38 E Main St, Trumansburg, NY 14886. The listed phone number is (607) 205-8508.

What is Colleen Keller's specialty?

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

Is Colleen Keller enrolled in Medicare?

No. Colleen Keller has opted out of Medicare through April 12, 2027. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out.

When was this NPI record last updated?

The NPPES record for Colleen Keller was last updated on September 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.