NPIMap

Organization Active NPI

Chaya Selesny

  • Clinical Social Worker
  • Southfield, MI
National Provider Identifier
1285935189
Registry record updated Nov 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801078038 Issued in MI
Legal business name
CHAYA SELESNY
Practice address
23135 Laurel Valley St
Southfield, MI 48034-2012
Phone
(248) 231-2488
NPI assigned
Nov 9, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Chaya Selesny, LMSWNPI 1528267606
Title
Clinical Social Worker
Phone
(248) 231-2488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 6801078038 MI Primary

Addresses

Primary practice location

23135 Laurel Valley St
Southfield, MI 48034-2012

Mailing address

25131 Ridge Cliff Dr
Southfield, MI 48075-2022
Phone (248) 231-2488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1289260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289260800000",
    "number": "1285935189",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25131 RIDGE CLIFF DR",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480752022",
            "telephone_number": "248-231-2488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23135 LAUREL VALLEY ST",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480342012",
            "telephone_number": "248-231-2488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHAYA SELESNY",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-09",
        "last_updated": "2010-11-09",
        "status": "A",
        "authorized_official_last_name": "SELESNY",
        "authorized_official_first_name": "CHAYA",
        "authorized_official_title_or_position": "CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "248-231-2488",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801078038",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Southfield, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.