1487909495 NPI number — MRS. ANN MERRIN LOUISE KELLER LCSW

Table of content: MRS. ANN MERRIN LOUISE KELLER LCSW (NPI 1487909495)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1487909495 NPI number — MRS. ANN MERRIN LOUISE KELLER LCSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
KELLER
Provider First Name:
ANN
Provider Middle Name:
MERRIN LOUISE
Provider Name Prefix Text:
MRS.
Provider Name Suffix Text:
Provider Credential Text:
LCSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ROSENBERG-SATTICH
Provider Other First Name:
ANN
Provider Other Middle Name:
LOUISE
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:
1

NPI Number Information

NPI Number:
1487909495
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
02/09/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
171 ELM STREET
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
VERSAILLES
Provider Business Mailing Address State Name:
KY
Provider Business Mailing Address Postal Code:
40383
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
502-299-0096
Provider Business Mailing Address Fax Number:
859-987-5006

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
171 ELM STREET
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
VERSAILLES
Provider Business Practice Location Address State Name:
KY
Provider Business Practice Location Address Postal Code:
40383
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
502-299-0096
Provider Business Practice Location Address Fax Number:
859-987-5006
Provider Enumeration Date:
07/16/2012

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 101YM0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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