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Colleen Keller, LCSW

NPI 1477283315ActiveIndividual· Social Worker, Clinical· Trumansburg, NY

Opted out of Medicare from April 2023 to April 2027. Social Worker, Clinical (LCSW) in Trumansburg, New York, licensed in NY, with an NPI issued in June 2022.

Overview

NPI1477283315
StatusActive
Entity typeIndividual
CredentialLCSW
Sole proprietorYes
NPI issuedJun 14, 2022
Last updated in NPPESSep 24, 2025
Certified by providerSep 24, 2025

Specialties and licenses

TaxonomyCodeLicenseState
Social Worker, Clinical Primary1041C0700X097530NY

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Apr 12, 2023 – Apr 12, 2027
Can order and referNo

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

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