MR. KURT DAVID KELLER LMSW
NPI 1962772061
Social Worker - Clinical in Grand Rapids, MI

Active since January 05, 2012
201 SHELDON BLVD SE, GRAND RAPIDS, MI 49503(616) 965-8200(616) 242-6057 Get Directions Write a Review

NPPES record last updated: April 5, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Kurt David Keller Lmsw NPPES

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

MR. KURT DAVID KELLER LMSW (NPI 1962772061) is an individual clinical provider in Grand Rapids, Michigan, licensed in Michigan (6801089663) and active in the NPI registry since January 2012.

NPPES Registry Identity

NPI1962772061
Entity TypeIndividualMale
Primary Taxonomy1041C0700X
Provider Legal NameMR. KURT DAVID KELLERCredential: LMSW
Location Address201 SHELDON BLVD SEGrand Rapids, MI 49503-4513
Mailing Address201 Sheldon Blvd SeGrand Rapids, MI 49503-4513 · (616) 965-8200 · Fax (616) 242-6057
Fax(616) 242-6057
Sole ProprietorNo
Enumeration DateJanuary 5, 2012
Last NPPES UpdateApril 5, 2013
NPI 1962772061 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 MI · 6801089663
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.
201 SHELDON BLVD SE, Grand Rapids, MI 49503

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.

Registered Nurse (Psychiatric/Mental Health)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Psychologist (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Counselor
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503
Social Worker (Clinical)
201 SHELDON BLVD SE
GRAND RAPIDS, MI 49503

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 Kurt Keller's NPI number?

The NPI number for Kurt Keller is 1962772061. It was assigned to this individual provider in the NPPES registry on January 5, 2012.

Where is Kurt Keller located?

Kurt Keller practices at 201 Sheldon Blvd SE, Grand Rapids, MI 49503. The listed phone number is (616) 965-8200.

What is Kurt Keller's specialty?

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

When was this NPI record last updated?

The NPPES record for Kurt Keller was last updated on April 5, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.