Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mrs. Jill Nicole Keller, MSSA, LSW

Individual provider Social Worker · NPI 1225512981

Mrs. Jill Nicole Keller, MSSA, LSW is a Clinical Social Worker in Wooster, Ohio. Qualified in 2020, 6 years ago. Practices with Sondermind Provider Network LLC, a 1,258-clinician group and accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
6
Licensed in
OH
In the registry since
2018
Specialties on file
2
What do these letters mean?
LSW — Licensed Social Worker
A state-licensed social worker.

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Practice location Address checks out

2587 Back Orrville Rd
Wooster, OH 44691-9523
Phone: (330) 264-9597
Fax: (330) 264-0946
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence S2105821 (OH)
Social Worker Taxonomy 104100000X · Licence S1800589TRNE (OH)

Record details

NPI number1225512981
Entity typeIndividual (Type 1)
GenderFemale
Credentials MSSA , LSW
Sole proprietorNo
NPI enumeratedSeptember 19, 2018
Last updated in NPPESJanuary 20, 2021
Certification dateJanuary 20, 2021

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Sondermind Provider Network Llc — 1258 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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