Individual provider Active NPI

Pamela Reid Seldon, LCSW

  • Clinical Social Worker
  • Columbus, GA
National Provider Identifier
1487265856
Registry record updated Oct 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW007188 Issued in GA
Practice address
3100 Gentian Blvd Ste 22B
Columbus, GA 31907-5670
Phone
(706) 358-4141
Fax
(706) 358-4141
NPI assigned
Aug 11, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CSW007188 GA Primary

Addresses

Primary practice location

3100 Gentian Blvd Ste 22B
Columbus, GA 31907-5670

Mailing address

2022 15TH Ave
Columbus, GA 31901-1608
Phone (706) 649-6500

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

State licenses

LicenseStateTypeSpecialty
CSW007188GAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Stepping Stones Child and Family Therapy Center LLC CurrentSince Oct 6, 2024 Accepting new patients
St Francis Health LLC PastSince Feb 16, 2021 Accepting new patients

Locations

3100 Gentian Blvd
Ste 22B
Columbus, GA 31907
Phone (706) 358-4141

3100 Gentian Blvd
Ste 22
Columbus, GA 31907

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1597104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727740800000",
    "number": "1487265856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2022 15TH AVE",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011608",
            "telephone_number": "706-649-6500",
            "fax_number": "706-649-6521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 GENTIAN BLVD STE 22B",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319075670",
            "telephone_number": "706-358-4141",
            "fax_number": "706-358-4141"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELDON",
        "first_name": "PAMELA",
        "middle_name": "REID",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-08-11",
        "last_updated": "2024-10-01",
        "certification_date": "2024-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW007188",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.