Organization Active NPI

Karen G Selenberg LCSW LLC

  • Clinical Social Worker
  • Metairie, LA
National Provider Identifier
1720512825
Registry record updated Apr 14, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
910 Issued in LA
Legal business name
KAREN G SELENBERG LCSW LLC
Practice address
2420 Athania Pkwy
Ste 102
Metairie, LA 70001-1975
Phone
(504) 833-6303
Fax
(504) 837-9857
NPI assigned
Apr 14, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 14, 2017

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

Authorized official

Name
Ms. Karen G Selenberg, LCSWNPI 1184719817
Title
Owner
Phone
(504) 388-5110

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 910 LA Primary

Addresses

Primary practice location

2420 Athania Pkwy
Ste 102
Metairie, LA 70001-1975

Mailing address

146 Avant Garde Cir
Kenner, LA 70065-6273
Phone (504) 388-5110

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20170424001683 LA Part B Supplier - Clinic/Group Practice 6901182146 Receives reassigned benefits from 1 practitioner
Practice locations: Metairie, LA

National Provider Directory

National Provider Directory

Locations

2820 Athania Pkwy
Ste 6
Metairie, LA 70002
Phone (504) 400-5993

2420 Athania Pkwy
Ste 102
Metairie, LA 70001
Phone (504) 668-6000

3017 Harvard Ave
Ste 303
Metairie, LA 70006
Phone (504) 833-6303

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1492128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492128000000",
    "number": "1720512825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "146 AVANT GARDE CIR",
            "city": "KENNER",
            "state": "LA",
            "postal_code": "700656273",
            "telephone_number": "504-388-5110",
            "fax_number": "504-837-9857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2420 ATHANIA PKWY",
            "address_2": "STE 102",
            "city": "METAIRIE",
            "state": "LA",
            "postal_code": "700011975",
            "telephone_number": "504-833-6303",
            "fax_number": "504-837-9857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAREN G SELENBERG LCSW LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-14",
        "last_updated": "2017-04-14",
        "status": "A",
        "authorized_official_last_name": "SELENBERG",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "504-388-5110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "LA",
            "license": "910",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Metairie, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.