Active NPI
Regina Sellman, LCSW
- Clinical Social Worker
- Carlisle, PA
National Provider Identifier
1912337965
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW019674
- Practice address
- 100 N Hanover St
Carlisle, PA 17013-2421 - Phone
- (717) 218-6670
- Fax
- (717) 218-6671
- NPI assigned
- Nov 12, 2013
- 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 |
|---|---|---|---|---|
| Counselor | 101Y00000X | |||
| Clinical Social Worker | 1041C0700X | CW019674 | PA | Primary |
Addresses
Primary practice location
100 N Hanover St
Carlisle, PA 17013-2421
Mailing address
100 N Hanover St
Carlisle, PA 17013-2421
Phone (717) 218-6670
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100777740 | Medicaid | PA |
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 |
|---|---|---|---|
| CW019674 | PA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1384214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1542067200000",
"number": "1912337965",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 N HANOVER ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132421",
"telephone_number": "717-218-6670",
"fax_number": "717-218-6671"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 N HANOVER ST",
"city": "CARLISLE",
"state": "PA",
"postal_code": "170132421",
"telephone_number": "717-218-6670",
"fax_number": "717-218-6671"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELLMAN",
"first_name": "REGINA",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-11-12",
"last_updated": "2018-11-13",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": null,
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "PA",
"license": "CW019674",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100777740",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Carlisle, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.