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Contact Information

EARLENE A KELLER, LCSW
101 S FOREST RD
SONORA, CA95370
 Phone: 209-532-8517
 Fax: 209-532-3929
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
Indicates primary specialty

NPI Profile & details for EARLENE A KELLER · (Female)

NPI Number 1306954599
Status Active
Credentials LCSW (Licensed Clinical Social Worker)
Entity Individual
Enumeration date 08/28/2006
Last updated 03/02/2020 - About 6 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # LCS14388
  • CA Medicaid CSW143880
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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