Individual provider Active NPI

Raquel(Rachel) Ann Selig, MSW, LCSW

  • Clinical Social Worker
  • Altamonte Springs, FL
National Provider Identifier
1043339518
Registry record updated Jul 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW4430 Issued in FL
Practice address
377 Maitland Ave Ste 1006
Altamonte Springs, FL 32701-5442
Phone
(407) 484-8425
Fax
(407) 682-4262
NPI assigned
Mar 28, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 11, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW4430 FL Primary

Addresses

Primary practice location

377 Maitland Ave Ste 1006
Altamonte Springs, FL 32701-5442

Mailing address

377 Maitland Ave Ste 1006
Altamonte Springs, FL 32701-5442
Phone (407) 484-8425

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110912000171 FL Practitioner - Clinical Social Worker 4284805888 Practice locations: Altamonte Springs, FL

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

377 Maitland Ave
Suite 1006
Altamonte Springs, FL 32701-5442
Phone (407) 484-8425

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Irving S Kolin MD PA Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562803200000",
    "number": "1043339518",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "377 MAITLAND AVE STE 1006",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015442",
            "telephone_number": "407-484-8425",
            "fax_number": "407-682-4262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "377 MAITLAND AVE STE 1006",
            "city": "ALTAMONTE SPRINGS",
            "state": "FL",
            "postal_code": "327015442",
            "telephone_number": "407-484-8425",
            "fax_number": "407-682-4262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELIG",
        "first_name": "RAQUEL(RACHEL)",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2019-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW4430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Altamonte Springs, FL

Sources for this page

Verify at the official NPI Registry.