Individual provider Active NPI

Carrie Beth Seslow, LCSW

  • Clinical Social Worker
  • Somerset, PA
National Provider Identifier
1740280593
Registry record updated Jun 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW015265 Issued in PA
Practice address
138 W Main St
Somerset, PA 15501-2037
Phone
(814) 443-4780
Fax
(814) 443-4758
NPI assigned
Jul 22, 2005
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 11, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X SW013358L PA
Clinical Social Worker 1041C0700X CW015265 PA Primary

Addresses

Primary practice location

138 W Main St
Somerset, PA 15501-2037

Mailing address

138 W Main St
Somerset, PA 15501-2037
Phone (814) 443-4780

Other identifiers 2

IdentifierTypeStateIssuer
1015863310004MedicaidPA
1015863310003MedicaidPA

Other names 1

  • Ms. Carrie Beth Shipley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SW013358LPAMDSocial Worker
CW015265PAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Allegheny Clinic Past Accepting new patients
Allegheny Clinic Clinical Past Accepting new patients

Organizations & group practices 2

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": "1121990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402444800000",
    "number": "1740280593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 W MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012037",
            "telephone_number": "814-443-4780",
            "fax_number": "814-443-4758"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "138 W MAIN ST",
            "city": "SOMERSET",
            "state": "PA",
            "postal_code": "155012037",
            "telephone_number": "814-443-4780",
            "fax_number": "814-443-4758"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SESLOW",
        "first_name": "CARRIE",
        "middle_name": "BETH",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-07-22",
        "last_updated": "2014-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "PA",
            "license": "SW013358L",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW015265",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015863310004",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1015863310003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CARRIE",
            "last_name": "SHIPLEY",
            "middle_name": "BETH",
            "prefix": "MS.",
            "credential": "MSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Somerset, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2014; 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.