Active NPI
Selena Marie Horton, LMSW, LSW
- Social Worker
- Wayne, NJ
National Provider Identifier
1285901728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 4SL06813000
- Practice address
- 24 High St
Wayne, NJ 07470-4715 - Phone
- (646) 708-4275
- NPI assigned
- Nov 29, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 4SL06813000 | NJ | Primary |
| Social Worker | 104100000X | 079041 | NY |
Addresses
Primary practice location
24 High St
Wayne, NJ 07470-4715
Mailing address
24 High St
Wayne, NJ 07470-4715
Phone (646) 708-4275
Other names 1
- Selena Marie Perez
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4SL06813000 | NJ | MD | Social Worker |
| 079041 | NY | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nutley Family Service Bureau, Inc. | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Community/Behavioral Health Agency
- Nutley, NJ
- NPI 1760532345
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322524800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1285901728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "24 HIGH ST",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704715",
"telephone_number": "646-708-4275"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 HIGH ST",
"city": "WAYNE",
"state": "NJ",
"postal_code": "074704715",
"telephone_number": "646-708-4275"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "SELENA",
"middle_name": "MARIE",
"credential": "LMSW, LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-11-29",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NJ",
"license": "4SL06813000",
"primary": true
},
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NY",
"license": "079041",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "SELENA",
"last_name": "PEREZ",
"middle_name": "MARIE",
"credential": "LMSW",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Wayne, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 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.