Provider Demographics
NPI:1487445854
Name:GONZALEZ-KELLER, ARIANA MARIE
Entity type:Individual
Prefix:
First Name:ARIANA
Middle Name:MARIE
Last Name:GONZALEZ-KELLER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:604 RED FOX LN APT 2A
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:DE
Mailing Address - Zip Code:19711-5977
Mailing Address - Country:US
Mailing Address - Phone:856-405-1098
Mailing Address - Fax:
Practice Address - Street 1:724 YORKLYN RD STE 315
Practice Address - Street 2:
Practice Address - City:HOCKESSIN
Practice Address - State:DE
Practice Address - Zip Code:19707-8733
Practice Address - Country:US
Practice Address - Phone:302-406-3287
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-05-15
Last Update Date:2025-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEQ3-0011433104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker