Active NPI
Carrie Beth Seslow, LCSW
- Clinical Social Worker
- Somerset, PA
National Provider Identifier
1740280593
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW015265
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1015863310004 | Medicaid | PA | |
| 1015863310003 | Medicaid | PA |
Other names 1
- Ms. Carrie Beth Shipley
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
| License | State | Type | Specialty |
|---|---|---|---|
| SW013358L | PA | MD | Social Worker |
| CW015265 | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Primary Care Clinic/Center
- Pittsburgh, PA
- NPI 1215752548
-
- Clinical Psychologist
- Pittsburgh, PA
- NPI 1760482152
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.