Scott E De Selle, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

5176-C Issued in NV

Practice address

85 Keystone Ave
Ste F
Reno, NV 89503-5571

Phone

(775) 200-8528

Fax

(775) 800-1551

NPI assigned

May 16, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Cba Healthcare, LLC

  • Community/Behavioral Health Agency
  • Reno, NV
  • NPI 1245502632
  NPD (past)

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

{
    "created_epoch": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458777600000",
    "number": "1679780100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10680 CEDAR BEND CT",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895218204",
            "telephone_number": "775-200-8528",
            "fax_number": "775-800-1551"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "85 KEYSTONE AVE",
            "address_2": "STE F",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895035571",
            "telephone_number": "775-200-8528",
            "fax_number": "775-800-1551"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DE SELLE",
        "first_name": "SCOTT",
        "middle_name": "E",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-16",
        "last_updated": "2016-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NV",
            "license": "5176-C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Teodora De Los Reyes
• David Patrick De Los Santos, MD
• Kenny De Meirleir, M.D.
• Cecilia B De Paz Padilla
• Beverly Diana De Paz, APRN
• Indrika Nilmini De Silva
• Bonnie Deach, MS, SLP,CCC
• Jason Deadmond
• Susan Louise Deakyne, LCSW
• Christine Dean

• Clinical Social Worker in Reno, NV
• Providers in Reno, NV by specialty
• Clinical Social Worker in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2016; 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.