Individual provider Active NPI

Mary Hendy Seelbach, L.C.S.W.

  • Clinical Social Worker
  • Lexington, KY
National Provider Identifier
1235241761
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0969 Issued in KY
Practice address
1517 Nicholasville Rd Ste 302
Lexington, KY 40503-1429
Phone
(859) 351-5166
Fax
(859) 278-0802
NPI assigned
Aug 31, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 0969 KY Primary

Addresses

Primary practice location

1517 Nicholasville Rd Ste 302
Lexington, KY 40503-1429

Mailing address

312 Crillon Dr
Lexington, KY 40503-2606
Phone (859) 351-5166

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

LicenseStateTypeSpecialty
0969KYMDCounselor

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1235241761",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 CRILLON DR",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405032606",
            "telephone_number": "859-351-5166",
            "fax_number": "859-278-0802"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1517 NICHOLASVILLE RD STE 302",
            "city": "LEXINGTON",
            "state": "KY",
            "postal_code": "405031429",
            "telephone_number": "859-351-5166",
            "fax_number": "859-278-0802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEELBACH",
        "first_name": "MARY",
        "middle_name": "HENDY",
        "name_prefix": "Mrs.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "0969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lexington, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.