Active NPI
Kenneth Arnold Sellinger, LCSW-A
- Clinical Social Worker
- Matthews, NC
National Provider Identifier
1063805596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- P006441
- Practice address
- 12715 Vinings Creek Drive
Apt 816
Matthews, NC 28105 - Phone
- (704) 496-1314
- NPI assigned
- Mar 9, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | P006441 | NC | Primary |
Addresses
Primary practice location
12715 Vinings Creek Drive
Apt 816
Matthews, NC 28105
Mailing address
12715 Vinings Creek Drive
Apt 816
Monroe, NC 28112
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| P006441 | NC | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1425859200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1425859200000",
"number": "1063805596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12715 VININGS CREEK DRIVE",
"address_2": "APT 816",
"city": "MONROE",
"state": "NC",
"postal_code": "28112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "12715 VININGS CREEK DRIVE",
"address_2": "APT 816",
"city": "MATTHEWS",
"state": "NC",
"postal_code": "28105",
"telephone_number": "704-496-1314"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLINGER",
"first_name": "KENNETH",
"middle_name": "ARNOLD",
"credential": "LCSW-A",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-03-09",
"last_updated": "2015-03-09",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NC",
"license": "P006441",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Matthews, NC
- Nancy Brinkman Sechler, RN, IBCLC
- Seeds Counseling & Collaboration, PLLC
- Emma Rebecca Segal, MD
- Amine Segueni, MD
- Courtney Gregg Self, MD
- Janet Kimberly Selz, ANP-BC
- Senior Care Pharmacy LLC (Copper Creek Pharmacy)
- Senior Independence Transportation
- Sensational Pediatric Therapy LLC
- Serenity Counseling Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.