MEDICARE: MEGHAN KEELER SWC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	SWC.0000000784	CO

General Provider Information

NPI Number	:	1003614793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEGHAN KEELER SWC

Provider Business Mailing Address
First Line	:	8420 W 6TH AVE
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-5100
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	8420 W 6TH AVE
Second Line	:
City	:	LAKEWOOD
State	:	CO
Zip	:	80215-5100
Country	:	US
Telephone Number	:	734-330-4339
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2025
Last Update Date	:	03/06/2025

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Directions to “ MEGHAN KEELER SWC” Practice Location

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