Carol E. Seddon

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

06568 Issued in MD

Practice address

217 Fallsbrook Rd
Timonium, MD 21093-2628

Phone

(443) 465-8795

NPI assigned

Sep 8, 2020

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in WI

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

Specialty

Clinical Social Worker

Education

Other, 1988

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Optum Behavioral Care of Colorado, P.C.

  • Clinical Social Worker
  • De Pere, WI
  • NPI 1396622494
  Medicare reassignment

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

{
    "created_epoch": "1599523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599523200000",
    "number": "1376157313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "217 FALLSBROOK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932628",
            "telephone_number": "443-465-8795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "217 FALLSBROOK RD",
            "city": "TIMONIUM",
            "state": "MD",
            "postal_code": "210932628",
            "telephone_number": "443-465-8795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SEDDON",
        "first_name": "CAROL",
        "middle_name": "E.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-08",
        "last_updated": "2020-09-08",
        "certification_date": "2020-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "06568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Timonium",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "217 Fallsbrook Rd",
            "city": "Timonium",
            "state": "MD",
            "country_code": "US",
            "postal_code": "210932628",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Gayle Swissman Schwartz, MD
• James John Sciubba, D.M.D., PH.D.
• Rashard Scott
• Taylor Ivana Seaton, LMSW
• Jorge C. Secada-Lovio, M.D.
• Jennifer Serene, LCSW-C
• Katherine Libertini Serio, NP
• Kamal Salah H Sewaralthahab, M.D
• Ashley Nicole Shaffer, CRNP
• Advait V. Shah, DMD

• Clinical Social Worker in Timonium, MD
• Providers in Timonium, 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 Sep 8, 2020; 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.

Verify at the official NPI Registry.