Individual provider Active NPI

Selah Israel, LCSW

  • Clinical Social Worker
  • Nogales, AZ
National Provider Identifier
1548041155
Registry record updated Aug 26, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW-22820 Issued in AZ
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

Updated by the provider on Aug 26, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, PA3 enrollments
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 3

Enrollment IDStateProvider typePAC IDDetails
I20250424000252 AZ Practitioner - Clinical Social Worker 9133645062 Reassigns benefits to 1 organization
I20260204002814 TX Practitioner - Clinical Social Worker 9133645062 Reassigns benefits to 1 organization
I20260527003332 PA Practitioner - Clinical Social Worker 9133645062 Reassigns benefits to 1 organization

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
Author Health Professionals, PCGroup PAC ID 7416368949, 93 clinicians
Mariposa Community Health Center IncGroup PAC ID 8123926326, shared by 8 NPIs, 34 clinicians

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

LicenseStateTypeSpecialty
65576TXMDProfessional Counselor
16973AZMDSocial Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mariposa Community Health Center, Inc Current Accepting new patients
Author Health Professionals, PC CurrentSince Dec 27, 2025 Accepting new patients
Twelve Royal Gems Women'S Mental Health Clinical CurrentSince Jun 23, 2025 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince May 1, 2025 Accepting new patients
Mariposa Community Health Center, Inc CurrentSince May 1, 2025 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.