Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Thomas S Keller, LCSW

Individual provider Clinical Social Worker · NPI 1376817510

Thomas S Keller, LCSW is a Clinical Social Worker in Mishawaka, Indiana. Qualified in 1994, 32 years ago. Practices with Healthlinc Inc, a 88-clinician group and accepts Medicare assignment. Licensed in Illinois and Indiana.

Years since qualifying
32
Licensed in
IL, IN
In the registry since
2012
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

420 W 4th St
Mishawaka, IN 46544-1948
Phone: (574) 307-7673
Fax: (574) 307-7692
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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 34006533A (IN)
Clinical Social Worker Taxonomy 1041C0700X · Licence 149007563 (IL)

Record details

NPI number1376817510
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW
Sole proprietorYes
NPI enumeratedMarch 6, 2012
Last updated in NPPESFebruary 12, 2024
Certification dateFebruary 12, 2024
Mailing address420 W 4th St, Mishawaka, IN 46544-1948

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1994 (32 years in practice)
Group practice Healthlinc Inc — 88 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Mishawaka