Jan Selander, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

149017603 Issued in IL

Practice address

6735 Vistagreen Way Ste 210
Rockford, IL 61107-5654

Phone

(815) 520-6972

Fax

(815) 904-6419

NPI assigned

Mar 13, 2015

Last updated

Apr 20, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

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, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Forest City Counseling, LLC

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1164075990
  NPD Authorized official
• Center for Marriage and Family, Inc.

  • Clinical Social Worker
  • Rockford, IL
  • NPI 1538526488
  Authorized official Same address or phone
• 1St Step Chiropractic SC

  • Chiropractor
  • Rockford, IL
  • NPI 1528362589
  NPD (past)

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

{
    "created_epoch": "1426204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681948800000",
    "number": "1396138350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6735 VISTAGREEN WAY STE 210",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075654",
            "telephone_number": "815-520-6972",
            "fax_number": "815-904-6419"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6735 VISTAGREEN WAY STE 210",
            "city": "ROCKFORD",
            "state": "IL",
            "postal_code": "611075654",
            "telephone_number": "815-520-6972",
            "fax_number": "815-904-6419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELANDER",
        "first_name": "JAN",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-03-13",
        "last_updated": "2023-04-20",
        "certification_date": "2023-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "IL",
            "license": "150.012163",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149017603",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Albert Segura
• Amy Seiler
• Jacob Aaron Seiver, PHARMD
• Zachary David Sekulich, DMD
• Andrew W Selander, MSW, LCSW
• Anastasi Austin Selas, DPT
• Serene Home Health Care Services, Inc
• Lee Sesslar, MD
• Andrew B Sestak, CO
• Adam Haugen Setter, PHARMD

• Clinical Social Worker in Rockford, IL
• Providers in Rockford, IL by specialty
• Clinical Social Worker in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.

Verify at the official NPI Registry.