Caitlyn Cota Selph, MSW, LCSW, GC-C

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW007728 Issued in GA

Practice address

207 Hudson Trce Ste 100
Augusta, GA 30907-2010

Phone

(706) 204-1366

NPI assigned

Oct 14, 2021

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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

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.

• Neurobehavioral Associates, LLC

  • Clinical Psychologist
  • Augusta, GA
  • NPI 1386059251
  NPD (past)

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684281600000",
    "number": "1437812617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "873 CHESHAM AVE",
            "city": "GROVETOWN",
            "state": "GA",
            "postal_code": "308135985",
            "telephone_number": "706-829-1495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 HUDSON TRCE STE 100",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309072010",
            "telephone_number": "706-204-1366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "790 Shady Grove Church Rd",
            "address_purpose": "LOCATION",
            "city": "Dublin",
            "state": "GA",
            "postal_code": "310211006",
            "country_code": "US",
            "telephone_number": "706-829-1495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SELPH",
        "first_name": "CAITLYN",
        "middle_name": "COTA",
        "name_prefix": "Mrs.",
        "credential": "MSW, LCSW, GC-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-14",
        "last_updated": "2023-05-17",
        "certification_date": "2021-11-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sela Stylez Hair LLC.
• Sela Stylez Hair LLC.
• Select Specialty Hospital - Augusta Inc
• Richard Hayden Self, MD/MBA
• Zachary Thomas Self, MD
• Asmaa Semrin
• Ernesto Andres Sepulveda, MD
• Serenity Behavioral Health Systems
• Serenity Dental Care, LLC
• Serenity Haven Living

• Clinical Social Worker in Augusta, GA
• Providers in Augusta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.