Jill Nicole Keller, MSSA, LSW
NPI 1225512981ActiveIndividual· Social Worker· Wooster, OH
Social Worker (MSSA, LSW) with Sondermind Provider Network LLC, practicing in Wooster, Ohio. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1225512981 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MSSA, LSW |
| Sole proprietor | No |
| NPI issued | Sep 19, 2018 |
| Last updated in NPPES | Jan 20, 2021 |
| Certified by provider | Jan 20, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker Primary | 104100000X | S2105821 | OH |
| Social Worker | 104100000X | S1800589TRNE | OH |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (OH) |
|---|
Education and affiliations
| Graduation year | 2020 |
|---|---|
| Medicare specialty | Clinical Social Worker |
Medical group
- Sondermind Provider Network LLCColumbus, OH · 1,339 clinicians
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