Active NPI
Selah Israel, LCSW
- Clinical Social Worker
- Nogales, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCSW-22820
- Practice address
- 1852 N Mastick Way
Nogales, AZ 85621-1063 - Phone
- (520) 375-5000
- Fax
- (520) 281-4487
- NPI assigned
- Oct 10, 2023
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 16973 | AZ | |
| Clinical Social Worker | 1041C0700X | 65576 | TX | |
| Clinical Social Worker | 1041C0700X | LCSW-22820 | AZ | Primary |
Addresses
Primary practice location
1852 N Mastick Way
Nogales, AZ 85621-1063
Mailing address
825 N Grand Ave Ste 100
Nogales, AZ 85621-1061
Phone (520) 761-2128
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, TX, PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mariposa Community Health Center Inc
Practice addresses (Care Compare)
1100 Ludlow St
Philadelphia, PA 19107-4242
Phone (800) 423-4400
1852 N Mastick Way
Nogales, AZ 85621-1063
Phone (520) 281-1550
2425 E Camelback Rd
Suite 400
Phoenix, AZ 85016-4225
Phone (800) 423-4400
2700 Post Oak Blvd
Suite 2100
Houston, TX 77056-5797
Phone (800) 423-4400
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 65576 | TX | MD | Professional Counselor |
| 16973 | AZ | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Author Health Professionals, PC | Current | Accepting new patients | |
| Twelve Royal Gems Women'S Mental Health | Clinical | Current | Accepting new patients |
| Mariposa Community Health Center, Inc | Current | Accepting new patients | |
| Mariposa Community Health Center, Inc | Current | Accepting new patients |
Locations
825 N Grand Ave
Ste 100
Nogales, AZ 85621
Phone (520) 761-2128
1835 N Mastick Way
Nogales, AZ 85621
Phone 5202811550 ext. 1180
1852 N Mastick Way
Nogales, AZ 85621
2425 E Camelback Rd
Ste 400
Phoenix, AZ 85016
Phone (800) 858-1714
47 High St
Medford, MA 02155
Phone (210) 213-3660
1100 Ludlow St
Philadelphia, PA 19107
2700 Post Oak Blvd
Ste 2100
Houston, TX 77056
609 Main St
Ste 2500
Houston, TX 77002
Interoperability endpoints
- selah.israel.p1@direct.azch.nextgenshare.com
Organizations & group practices 5
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.
-
- Clinical Social Worker
- Humble, TX
- NPI 1770479743
-
- Federally Qualified Health Center (FQHC)
- Patagonia, AZ
- NPI 1003837618
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1417985474
-
- Federally Qualified Health Center (FQHC)
- Nogales, AZ
- NPI 1487537445
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1696896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1756166400000",
"number": "1548041155",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "825 N GRAND AVE STE 100",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211061",
"telephone_number": "520-761-2128",
"fax_number": "520-281-1112"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1852 N MASTICK WAY",
"city": "NOGALES",
"state": "AZ",
"postal_code": "856211063",
"telephone_number": "520-375-5000",
"fax_number": "520-281-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ISRAEL",
"first_name": "SELAH",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-10-10",
"last_updated": "2025-08-26",
"certification_date": "2025-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "AZ",
"license": "16973",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "65576",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "AZ",
"license": "LCSW-22820",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Nogales, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2025; 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.