John Selleck, MSW,LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05358500 Issued in NJ

Practice address

254 Parkside Dr
Suffern, NY 10901-7856

Phone

(914) 552-2480

NPI assigned

Sep 6, 2021

Sex

Male

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1630886400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630886400000",
    "number": "1841968633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "254 PARKSIDE DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017856",
            "telephone_number": "914-552-2480"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "254 PARKSIDE DR",
            "city": "SUFFERN",
            "state": "NY",
            "postal_code": "109017856",
            "telephone_number": "914-552-2480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLECK",
        "first_name": "JOHN",
        "credential": "MSW,LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-06",
        "last_updated": "2021-09-06",
        "certification_date": "2021-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05358500",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizandra Sclafani, RN
• Dewitt Randolph Scott, RPA
• Brooke Morgan Scully, RN
• Shandy Ann Secor, RN
• Faith M Selchick, DNP, AGPCNP-BC
• Joel H Selter, M.D.
• Shana Sendrovic, CCC-SLP
• Estela Senes Sr., LCSW
• Serenity Care Services
• Serenity Community Care LLC

• Clinical Social Worker in Suffern, NY
• Providers in Suffern, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2021; 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.