Active NPI
Jacey L Seeloff, LCSW
- Clinical Social Worker
- San Antonio, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 4676
- Practice address
- 7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801 - Phone
- (210) 615-3483
- Fax
- (210) 593-9863
- NPI assigned
- Feb 16, 2015
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 3069 | SD | |
| Clinical Social Worker | 1041C0700X | 4676 | SD | Primary |
Addresses
Primary practice location
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Mailing address
7272 Wurzbach Rd
Suite 601
San Antonio, TX 78240-4801
Phone (210) 615-3483
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3069 | Other | SD | LICENSE |
| 4676 | Other | SD | SOUTH DAKOTA BOARD OF SOCIAL WORK EXAMINERS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20150314000002 | SD | Practitioner - Clinical Social Worker | 2163748955 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Deer Oaks Mental Health Associates PC
Practice addresses (Care Compare)
1700 N Hwy 281
Aberdeen, SD 57401-1017
Phone (605) 225-7315
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.16 of 100
- Quality
- 80.99
- Improvement activities
- 40
- Cost
- 72.05
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4676 | SD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Deer Oaks Mental Health Associates PC | Current | Accepting new patients | |
| Silvercare Support Solutions, LLC | Clinical | Current | Accepting new patients |
Locations
224 E Holly Blvd
Brandon, SD 57005
Phone (605) 403-8289
126 W 12th Ave
Redfield, SD 57469
Phone (605) 335-3421
4105 S Carnegie Pl
Unit 103
Sioux Falls, SD 57106
7272 Wurzbach Rd
Ste 601
San Antonio, TX 78240
Phone (210) 615-3472
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.
-
- Clinical Social Worker
- Sioux Falls, SD
- NPI 1700736220
Clinical, SD
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1424044800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1650326400000",
"number": "1770974503",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "SUITE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "210-615-3483",
"fax_number": "210-593-9863"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7272 WURZBACH RD",
"address_2": "SUITE 601",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782404801",
"telephone_number": "210-615-3483",
"fax_number": "210-593-9863"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SEELOFF",
"first_name": "JACEY",
"middle_name": "L",
"credential": "LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-02-16",
"last_updated": "2022-04-19",
"certification_date": "2022-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "3069",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "SD",
"license": "4676",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "3069",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SOUTH DAKOTA BOARD OF SOCIAL WORK EXAMINERS",
"identifier": "4676",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 2022; 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.