Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jessica Clark-Keeler, LICSW

Individual provider Clinical Social Worker · NPI 1336570886

Jessica Clark-Keeler, LICSW is a Clinical Social Worker in Rutland, Vermont. Qualified in 2004, 22 years ago. Practices with Rutland Hospital, Inc, a 186-clinician group and accepts Medicare assignment. Licensed in Vermont.

Years since qualifying
22
Licensed in
VT
In the registry since
2013
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.

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Practice location Address checks out

160 Allen St
Rutland, VT 05701-4560
Phone: (802) 775-7111
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 890097518 (VT)

Record details

NPI number1336570886
Entity typeIndividual (Type 1)
GenderFemale
Credentials LICSW
Sole proprietorNo
NPI enumeratedDecember 10, 2013
Last updated in NPPESMay 12, 2016

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2004 (22 years in practice)
Group practice Rutland Hospital, Inc. — 186 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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