Kristin Fisher Sellers, LCSW-C
Individual provider Active NPI Clinical Social Worker · Churchville, MD
NPI 1598896813 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1598896813
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 10786 (MD)
- Practice address
- 2832C Churchville Rd
Churchville, MD 21028-1620 - Phone
- (410) 688-6373
- NPI assigned
- Mar 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10786 | MD | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 10786 | MD | Yes |
Addresses
Primary practice location
2832C Churchville Rd
Churchville, MD 21028-1620
Mailing address
103 Richardsons Brook Dr
Kennett Square, PA 19348-4112
Phone (610) 444-7297
Other providers in Churchville, MD
- Melinda Lee Kreisel
- Amanda Gouin Larkin
- Level Psychiatric Care LLC
- Raymond Paul Lioi
- Sharon McCallum
- George Stoeber
- Christina Megaludis Tsakiris
All providers in Churchville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.