Active NPI
Stacey Seligman, LSW
- Mental Health Counselor
- Westampton, NJ
National Provider Identifier
1952757924
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 44SL05979700
- Practice address
- 770 Woodlane Rd
Westampton, NJ 08060-3804 - Phone
- (609) 267-5928
- NPI assigned
- May 10, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 44SL05979700 | NJ | Primary |
Addresses
Primary practice location
770 Woodlane Rd
Westampton, NJ 08060-3804
Mailing address
770 Woodlane Rd
Westampton, NJ 08060-3804
Phone (609) 267-5928
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NJ
- 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 |
|---|---|---|---|---|
| I20170330000926 | NJ | Practitioner - Clinical Social Worker | 1759666902 | Practice locations: Cherry Hill, NJ |
Care Compare profile
Medicare Care Compare- Specialty
- Clinical Social Worker
- Education
- Other, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
15 Langcliffe Court
Mt. Laurel, NJ 08054-6223
15 Langcliffe CT
Mount Laurel, NJ 08054-6223
1930 Marlton Pike E
Suite M69
Cherry Hill, NJ 08003-4202
Phone (856) 770-4167
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44SL05979700 | NJ | MD | Mental Health Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1462838400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1952757924",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 WOODLANE RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080603804",
"telephone_number": "609-267-5928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 WOODLANE RD",
"city": "WESTAMPTON",
"state": "NJ",
"postal_code": "080603804",
"telephone_number": "609-267-5928"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SELIGMAN",
"first_name": "STACEY",
"credential": "LSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-05-10",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": "NJ",
"license": "44SL05979700",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westampton, NJ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.