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

Tristan Glenn Keller, LISW

Individual provider Clinical Social Worker · NPI 1053346171

Tristan Glenn Keller, LISW is a Clinical Social Worker in Gallup, New Mexico. Licensed in New Mexico. Registered with an NPI since 2006.

Licensed in
NM
In the registry since
2006
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

2025 E Aztec Ave
Gallup, NM 87301-4803
Phone: (505) 863-3828
Fax: (505) 863-6612
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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 I-05565 (NM)

Record details

NPI number1053346171
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedJuly 11, 2006
Last updated in NPPESJuly 9, 2007

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