Kelly Seckman, LCSW-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12310 Issued in MD

Practice address

1201 Agora Dr
Suite LB-2
Bel Air, MD 21014-6859

Phone

(410) 836-7332

Fax

(410) 836-7422

NPI assigned

Oct 26, 2010

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Apex Counseling Center, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Baltimore, MD
  • NPI 1851336937
  NPD (past)
• Harford Counseling, LLC

  • Clinical Social Worker
  • Havre de Grace, MD
  • NPI 1699907493
  NPD (past)
• Rivers and Roads Psychotherapy, LLC

  • Counselor
  • Saint Clairsville, OH
  • NPI 1376191601
  NPD (past)

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

{
    "created_epoch": "1288051200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465776000000",
    "number": "1316247257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB-2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 AGORA DR",
            "address_2": "SUITE LB-2",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210146859",
            "telephone_number": "410-836-7332",
            "fax_number": "410-836-7422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SECKMAN",
        "first_name": "KELLY",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-26",
        "last_updated": "2016-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12310",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sea Alliance LTD
• Sea Alliance LTD
• Jessica Sebastian, PA-C
• Suzann Sebastiani
• Andrea Bognanni Sebo, FNP-C
• Rachel Marie Sedlak, OT
• Laura J Seed, M.D.
• Jennifer Michelle Seibel, PA-C
• Seidenberg Protzko Eye Associates
• Amalia Seiguer, M.D.

• Clinical Social Worker in Bel Air, MD
• Providers in Bel Air, 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 Jun 13, 2016; 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.