Selena Tetteh, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13662 Issued in MD

Practice address

104 Church LN
Suite 206
Pikesville, MD 21208-3786

Phone

(443) 960-3782

NPI assigned

Aug 16, 2016

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

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Monarch Wellness and Counseling Services

  • Mental Health Counselor
  • Woodstock, MD
  • NPI 1619711017
  NPD Authorized official
• Psych Associates of Maryland LLC

  • Psychologist
  • Timonium, MD
  • NPI 1891721981
  NPD
• Neta, Inc.

  • Child & Adolescent Psychiatry Physician
  • Arlington, VA
  • NPI 1134506520
  NPD (past)

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

{
    "created_epoch": "1471305600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471392000000",
    "number": "1235684580",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN",
            "address_2": "SUITE 206",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "443-960-3782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 CHURCH LN",
            "address_2": "SUITE 206",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083786",
            "telephone_number": "443-960-3782"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TETTEH",
        "first_name": "SELENA",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-16",
        "last_updated": "2016-08-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13662",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula-Anne Tenha
• Tarea Terry
• Hanna Tesfaye
• Fikir Teshale, PHARMACY TEC
• Paul M Tetreault, RN
• Alexus Thaniel
• Aviva Thav
• The Behavior Savior LLC
• The Gordon Institute for Human Performance LLC
• The Monumental Group LLC

• Clinical Social Worker in Pikesville, MD
• Providers in Pikesville, 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 Aug 17, 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.