Nicole Kathleen Sellin, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

13984 Issued in MN

Practice address

345 Smith Ave N
Saint Paul, MN 55102-2346

Phone

(651) 220-6000

NPI assigned

Mar 27, 2013

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

Enrolled in MN, CA2 enrollments

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 2

Specialty

Clinical Social Worker

Education

Other, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

San Bernardino Mountains Community Hospital District 12 clinicians

Practice addresses (Care Compare)

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.

• San Bernardino Mountains Community Hospital District

  • Rural Health Clinic/Center
  • Lake Arrowhead, CA
  • NPI 1528172541

  CA

  Medicare reassignment Care Compare group NPD
• San Bernardino Mountains Community Hospital District

  • Medicare Defined Swing Bed Hospital Unit
  • Lake Arrowhead, CA
  • NPI 1073663662
  Care Compare group
• San Bernardino Mountains Community Hospital District

  • Long Term Care Hospital
  • Lake Arrowhead, CA
  • NPI 1174674246
  Care Compare group
• San Bernardino Mountains Community Hospital District

  • Critical Access Hospital
  • Lake Arrowhead, CA
  • NPI 1245380799
  Care Compare group
• San Bernardino Mountains Community Hospital District

  • Rural Health Clinic/Center
  • Running Springs, CA
  • NPI 1881703957
  Care Compare group

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

{
    "created_epoch": "1364342400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1364342400000",
    "number": "1376885491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "955 OTTAWA AVE",
            "city": "WEST ST PAUL",
            "state": "MN",
            "postal_code": "551181123",
            "telephone_number": "651-271-3136"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 SMITH AVE N",
            "city": "SAINT PAUL",
            "state": "MN",
            "postal_code": "551022346",
            "telephone_number": "651-220-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLIN",
        "first_name": "NICOLE",
        "middle_name": "KATHLEEN",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-03-27",
        "last_updated": "2013-03-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MN",
            "license": "13984",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Selby Select Acupuncture of Minnesota PLLC
• Selfcare Mental Health Services LLC
• John Elliott Selickman, M.D.
• Sally Lois Selisker, LICSW
• Natasha Seliski
• Jonathan Scott Sellman, MD
• Katherine Sellner, PHARMD
• Amanda Jean Selseth, PHARMD
• Grace Meredith Selzler
• Matthew Semerad

• All providers in Saint Paul, MN
• Clinical Social Worker in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; 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.