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Tristan Keller, LISW
NPI 1053346171 · Clinical Social Worker · Gallup, NM
Tristan Keller, LISW is a Clinical Social Worker provider in Gallup, NM (NPI 1053346171).
Provider details
- NPI number
- 1053346171
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LISW
- Sex
- Male
- Sole proprietor
- No
- License
- I-05565 (NM)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2025 E Aztec Ave
Gallup, NM 87301-4803
Phone: (505) 863-3828
Fax: (505) 863-6612
Street-level locationGet directions
Mailing address
219 Boulder Rd
Gallup, NM 87301-5795
Registry dates
- Enumerated
- 2006-07-11
- Last updated
- 2007-07-09
Frequently asked questions
- What is Tristan Keller's NPI number?
- Tristan Keller's National Provider Identifier (NPI) is 1053346171, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Tristan Keller's specialty?
- Tristan Keller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tristan Keller located?
- Tristan Keller's practice location on file with NPPES is 2025 E Aztec Ave, Gallup, NM 87301-4803.
- What is Tristan Keller's phone number?
- The practice phone number listed in the NPPES registry for Tristan Keller is (505) 863-3828.
- Is Tristan Keller's NPI active?
- Yes — Tristan Keller's NPI (1053346171) is active in the NPPES registry as of the last update on 2007-07-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.