Manda Selva, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

76444 Issued in CA

Practice address

631 La Paloma Rd
El Sobrante, CA 94803-1735

Phone

(510) 230-9565

NPI assigned

Jan 26, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Madhulla Selva Professional name

Medicare fee-for-service enrollment

Enrolled in CA

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

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.

• Manda Selva, Licensed Clinical Social Worker, Inc

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • El Sobrante, CA
  • NPI 1356124234

  Clinical

  NPD

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

{
    "created_epoch": "1232928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693526400000",
    "number": "1306084546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "631 LA PALOMA RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948031735",
            "telephone_number": "510-974-3610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "631 LA PALOMA RD",
            "city": "EL SOBRANTE",
            "state": "CA",
            "postal_code": "948031735",
            "telephone_number": "510-230-9565"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2646 Appian Way Ste 12",
            "address_purpose": "LOCATION",
            "city": "Pinole",
            "state": "CA",
            "postal_code": "945642243",
            "country_code": "US",
            "telephone_number": "510-974-3610",
            "fax_number": "510-217-3517",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELVA",
        "first_name": "MANDA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-01-26",
        "last_updated": "2023-09-01",
        "certification_date": "2023-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "76444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MADHULLA",
            "last_name": "SELVA",
            "credential": "L CSW",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Florimae Paimalan Salandanan
• Amit Kumar Salwan
• Anastasia Sanchez
• Birenderpal Singh Sandhu, D.D.S
• Magda Lorena Sarran
• Seneca Family of Agencies
• Jennifer Alejandra Sepulveda
• Emily Jane Seybold
• Ray Shieh
• Dina M Shriver, RN

• Clinical Social Worker in El Sobrante, CA
• Providers in El Sobrante, CA by specialty
• Clinical Social Worker in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2023; 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.