Individual provider Active NPI

Fouress Snow Sellers, LICSW

  • Clinical Social Worker
  • Birmingham, AL
National Provider Identifier
1164221446
Registry record updated Sep 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
5880C Issued in AL
Practice address
1736 Oxmoor Rd Ste 103
Birmingham, AL 35209-4053
Phone
(205) 879-2120
NPI assigned
Mar 10, 2025
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2025

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 5880C AL Primary

Addresses

Primary practice location

1736 Oxmoor Rd Ste 103
Birmingham, AL 35209-4053

Mailing address

1736 Oxmoor Rd Ste 103
Birmingham, AL 35209-4053
Phone (205) 879-2120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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
I20250527002498 AL Practitioner - Clinical Social Worker 8628597358 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
River Region Psychiatry Associates, LLCGroup PAC ID 1254491012, 118 clinicians

Practice addresses (Care Compare)

333 Business Cir
Pelham, AL 35124-1778
Phone (205) 255-3822

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5880CALMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Soma Healthcare, LLC CurrentSince Sep 8, 2025 Accepting new patients
River Region Psychiatry Associates LLC CurrentSince Mar 21, 2025 Accepting new patients
Psychiatry Associates, PC PastSince Sep 8, 2025 Accepting new patients
Oak Street Health Physicians Group of Alabama, LLC PastSince Mar 1, 2025 Accepting new patients

Locations

1000 1st St N
Alabaster, AL 35007
Phone (205) 620-8100

1736 Oxmoor Rd
Ste 103
Homewood, AL 35209
Phone (205) 879-2120

233 Winton M Blount Loop
Montgomery, AL 36117
Phone (334) 207-3188

333 Business Cir
Pelham, AL 35124
Phone (205) 255-3828

Organizations & group practices 4

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": "1741564800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1757462400000",
    "number": "1164221446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1736 OXMOOR RD STE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094053",
            "telephone_number": "205-879-2120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1736 OXMOOR RD STE 103",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352094053",
            "telephone_number": "205-879-2120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "FOURESS",
        "middle_name": "SNOW",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-09-10",
        "certification_date": "2025-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "AL",
            "license": "5880C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.