Active NPI
Carrie A Sellers, LISW
- Clinical Social Worker
- Wadsworth, OH
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- I 0700059-S
- Practice address
- 1392 High St Ste 205
Wadsworth, OH 44281-8257 - Phone
- (330) 227-4518
- Fax
- (855) 975-3166
- NPI assigned
- Jul 23, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | I 0700059-S | OH | Primary |
Addresses
Primary practice location
1392 High St Ste 205
Wadsworth, OH 44281-8257
Mailing address
1392 High St Ste 205
Wadsworth, OH 44281-8257
Phone (330) 227-4518
Other practice location 1
246 Northland Dr Ste 200A
Medina, OH 44256-1533
Phone (330) 725-9195
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0369772 | Medicaid | OH |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Ohio State University College of Medicine, 2004
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1392 High St
Suite 205
Wadsworth, OH 44281-8257
Phone (330) 227-4518
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| I 0700059-S | OH | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Psych Foundations, LLC | Current | Accepting new patients | |
| Pastoral Counseling Service of Summit County | Past | Accepting new patients | |
| Pastoral Counseling Service of Summit Co Inc | Past | Accepting new patients |
Locations
1392 High St
Ste 205
Wadsworth, OH 44281
Phone (330) 227-4518
273 Main St
Ste 300
Wadsworth, OH 44281
Phone (330) 227-4518
Organizations & group practices 3
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.
-
- Psychiatry Physician
- Wadsworth, OH
- NPI 1871165498
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1073925624
-
- Community/Behavioral Health Agency
- Akron, OH
- NPI 1790819852
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1216771200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1677628800000",
"number": "1326203928",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1392 HIGH ST STE 205",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818257",
"telephone_number": "330-227-4518",
"fax_number": "855-975-3166"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1392 HIGH ST STE 205",
"city": "WADSWORTH",
"state": "OH",
"postal_code": "442818257",
"telephone_number": "330-227-4518",
"fax_number": "855-975-3166"
}
],
"practiceLocations": [
{
"address_1": "246 Northland Dr Ste 200A",
"address_purpose": "LOCATION",
"city": "Medina",
"state": "OH",
"postal_code": "442561533",
"country_code": "US",
"telephone_number": "330-725-9195",
"fax_number": "330-725-9187",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SELLERS",
"first_name": "CARRIE",
"middle_name": "A",
"name_prefix": "Mrs.",
"credential": "LISW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-07-23",
"last_updated": "2023-03-01",
"certification_date": "2023-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "OH",
"license": "I 0700059-S",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0369772",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wadsworth, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.