Shelly Keller, LCSW
NPI 1063642700 · Clinical Social Worker · Lake Winnebago, MO
Enrolled with Medicare as Practitioner - Clinical Social Worker · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Shelly Keller, LCSW is a Clinical Social Worker provider in Lake Winnebago, MO (NPI 1063642700).
Provider details
- NPI number
- 1063642700
- Entity type
- Individual
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Credential
- LCSW
- Sex
- Female
- Sole proprietor
- Yes
- License
- 2009014918 (MO)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 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
Mailing address
Registry dates
- Enumerated
- 2009-07-15
- Last updated
- 2009-07-15
Frequently asked questions
- What is Shelly Keller's NPI number?
- Shelly Keller's National Provider Identifier (NPI) is 1063642700, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Shelly Keller's specialty?
- Shelly Keller is listed in the NPPES registry with a primary specialty of Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Shelly Keller located?
- Shelly Keller's practice location on file with NPPES is 120 Cherokee Ln, Lake Winnebago, MO 64034-9304.
- What is Shelly Keller's phone number?
- The practice phone number listed in the NPPES registry for Shelly Keller is (816) 623-9711.
- Does Shelly Keller accept Medicare?
- Shelly Keller is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Shelly Keller's NPI active?
- Yes — Shelly Keller's NPI (1063642700) is active in the NPPES registry as of the last update on 2009-07-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.