Jeremy Thomas Selover, LGSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

21702 Issued in MD

Practice address

1012 North Point Rd
Baltimore, MD 21224-3338

Phone

(443) 216-4800

Fax

(443) 216-4801

NPI assigned

Nov 28, 2016

Sex

Male

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

Enrolled in MD

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

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• KTS Mental Health Group, Inc

  dba THRIVE Group, Inc.

  • Professional Counselor
  • Parkville, MD
  • NPI 1982192977
  Medicare reassignment

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

{
    "created_epoch": "1480291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1235672106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "318 IMLA ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212242807",
            "telephone_number": "313-617-1822"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1012 NORTH POINT RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212243338",
            "telephone_number": "443-216-4800",
            "fax_number": "443-216-4801"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELOVER",
        "first_name": "JEREMY",
        "middle_name": "THOMAS",
        "credential": "LGSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-11-28",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21702",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teirra Sellers
• Emily Margo Sellman, OTD
• Rebecca Sellman
• Abraham Kai Sellu
• Ola Selnes, PH.D.
• Jason Seltzer, PT
• Rebecca Seltzer, M.D.
• Janet Selway, C.R.N.P.
• Laura Danielle Selway, RN, PCNS-BC
• Richard Semba, M.D.

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.