Mary Joan Sella, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

3160-123 Issued in WI

Practice address

165 W Netherwood St Ste a
Oregon, WI 53575-1107

Phone

(608) 835-5050

Fax

(608) 835-5010

NPI assigned

Oct 25, 2006

Last updated

May 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WI

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 1

Specialty

Clinical Social Worker

Education

Other, 1984

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Oregon Mental Health Services,LLCGroup PAC ID 0143393884, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Oregon Mental Health Services,LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Oregon, WI
  • NPI 1801925433
  Medicare reassignment Care Compare group NPD Authorized official
• Oregon Mental Health Services

  • Community/Behavioral Health Agency
  • Oregon, WI
  • NPI 1932330008
  NPD Authorized official
• Oregon Mental Health SVS

  • Adolescent and Children Mental Health Clinic/Center
  • Oregon, WI
  • NPI 1508940370
  NPD (past) Authorized official

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714521600000",
    "number": "1649354416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 W NETHERWOOD ST STE A",
            "city": "OREGON",
            "state": "WI",
            "postal_code": "535751107",
            "telephone_number": "608-835-5050",
            "fax_number": "608-835-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLA",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2024-05-01",
        "certification_date": "2024-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "WI",
            "license": "3160-123",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSED CLINICAL SOC WOR",
            "identifier": "3160123",
            "state": "WI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "39276200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cara Ann Scanlan, MS MFT
• Julia Schick-Ndlovu, LCSW
• William Schneider, D.C.
• Beth Schultz Byrnes
• Jean Schwartz
• Sara A Shapiro, PA-C
• Kelsey L Shean, MD
• Robert Bret Shillingstad, MD
• Shopko Stores Operating,Co.,LLC
• Kim M Shumaker, PHARM.D.

• Clinical Social Worker in Oregon, WI
• Providers in Oregon, WI by specialty
• Clinical Social Worker in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2024; 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.

Verify at the official NPI Registry.