Amy Marie Selvage

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

I.1800775 Issued in OH

Practice address

360 E Enon Rd
Yellow Springs, OH 45387-1415

Phone

(937) 767-1303

NPI assigned

Jan 19, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.qualifacts.org/api/fhir/oesterlen/r4/

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.

• Greene County Educational Service Center

  • Mental Health Counselor
  • Yellow Springs, OH
  • NPI 1326003260
  NPD (past)
• Oesterlen Services for Youth, Inc.

  • Adolescent and Children Mental Health Clinic/Center
  • Springfield, OH
  • NPI 1740244284
  NPD (past)

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

{
    "created_epoch": "1516320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697587200000",
    "number": "1104334515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "606 STATE ROUTE 72 N",
            "city": "JAMESTOWN",
            "state": "OH",
            "postal_code": "453359736"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 E ENON RD",
            "city": "YELLOW SPRINGS",
            "state": "OH",
            "postal_code": "453871415",
            "telephone_number": "937-767-1303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELVAGE",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-19",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.1800775",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martha J Rogers, PH.D.
• Jerry M. Ruhl, PH.D.
• Teresa Christine Schile, PH.D.
• Emily Eilene Schultz, LCPM, CPM, LDEM, EMT
• Tracy Sebastian Evans
• Anna Rose Semler
• Anya Senetra, MSW, LISW-S
• Melinda Sine Severtson, OTR/L
• Rose Mary Shaw, PSYD
• Audrey Shirk, LSW

• Clinical Social Worker in Yellow Springs, OH
• Providers in Yellow Springs, OH by specialty
• Clinical Social Worker in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.