Active NPI
Mary Selig
- Social Worker
- Melrose, MA
National Provider Identifier
1427421510
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 1019424
- Practice address
- 585 Lebanon St
Department of Psychiatry
Melrose, MA 02176-3225 - Phone
- (781) 979-3677
- Fax
- (781) 979-6243
- NPI assigned
- Nov 11, 2015
- Last updated
- Nov 11, 2015
- 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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 1019424 | MA | Primary |
Addresses
Primary practice location
585 Lebanon St
Department of Psychiatry
Melrose, MA 02176-3225
Mailing address
585 Lebanon St
Department of Psychiatry
Melrose, MA 02176-3225
Phone (781) 979-3677
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1447200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1447200000000",
"number": "1427421510",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763225",
"telephone_number": "781-979-3677",
"fax_number": "781-979-6243"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "585 LEBANON ST",
"address_2": "DEPARTMENT OF PSYCHIATRY",
"city": "MELROSE",
"state": "MA",
"postal_code": "021763225",
"telephone_number": "781-979-3677",
"fax_number": "781-979-6243"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIG",
"first_name": "MARY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-11-11",
"last_updated": "2015-11-11",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "1019424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Melrose, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.