KRISTEN E SELLIX (NPI# 1801343744) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1801343744 |
| Entity Type | Individual |
| Full Name | KRISTEN E SELLIX |
| Credential | LCSW |
| Practice Address |
161 Linden St Mahwah NJ 07430-2062 |
| Practice Telephone | 9738658865 |
| Mailing Telephone | 9738658865 |
| Enumeration Date | 2016-09-08 |
| Last Update Date | 2019-11-25 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | 44SL05997000 | NJ | Behavioral Health & Social Service Providers |
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
44SC05725100 | NJ | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 234 S Broad St # 3c, Ridgewood, NJ 074505003 | 9738658865 |
| Street Address |
161 LINDEN ST |
| City | MAHWAH |
| State | NJ |
| Zip Code | 07430-2062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275158529 | Retreat & Recovery At Ramapo Valley | Psychiatric Hospital | 1071 Ramapo Valley Rd, Mahwah, NJ 07430 | 2020-06-12 |
| 1689195984 | Children's Aid and Family Services, Inc. | Behavioral Analyst | 94 Ramapo Valley Road, Mahwah, NJ 07430 | 2017-06-28 |
| 1073995304 | Sports Medicine Center of Bergen, Pa | Physical Therapist | 1019 Macarthur Blvd, Excel Orthopedic Rehabilitation, Mahwah, NJ 07430 | 2015-06-23 |
| 1467869255 | Song Woo Seo | Podiatrist | 400 Franklin Tpke # 202, Mahwah, NJ 07430 | 2014-07-14 |
| 1609168384 | Tides Psychotherapy Services, LLC | Social Worker | 900 Darlington Avenue, Mahwah, NJ 07430 | 2011-05-12 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1518113711 | Carolyn Demaria | Pediatrics | 367 Forest Rd, Mahwah, NJ 07430 | 2008-08-07 |
| 1982850186 | Frank Demaria Jr. | Pediatrics | 367 Forest Rd., Mahawah, NJ 07430 | 2008-08-07 |
| 1992917488 | Leo Victor Russ | Dentist | 265 Westervelt Lane, Mahwah, NJ 07430 | 2007-05-04 |
| 1487729521 | Richard A Sabella | Dentist | 156 Ramapo Valley Road, Mahwah, NJ 07430 | 2006-11-22 |
| Find all providers in zip 07430 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689065179 | Samantha Cerami | Social Worker | 127 Fisher Rd, Mahwah, NJ 07430-3212 | 2015-02-05 |
| 1609168384 | Tides Psychotherapy Services, LLC | Social Worker | 900 Darlington Avenue, Mahwah, NJ 07430 | 2011-05-12 |
| 1053540229 | Debra Borden | Social Worker | 1 International Blvd, Suite 400, Mahwah, NJ 07495-0027 | 2009-07-09 |
| 1982832713 | Benedetta Versaci | Social Worker | 65 Ramapo Valley Rd Ste 102, Mahwah, NJ 07430-1182 | 2009-07-01 |
| 1679713119 | Gloria Leder | Social Worker | 574 Laramine Lane, Mahwah, NJ 07430 | 2009-02-24 |
| 1770633265 | Maia M Rahill | Social Worker | 467 Mahogany Ct, Mahwah, NJ 07430-2759 | 2007-01-10 |
| 1689681033 | Judith Jacobs | Social Worker | 245 Mountainview Dr, Mahwah, NJ 07430-3426 | 2006-08-01 |
| 1861474959 | Margaret Lillian Bost | Social Worker | 121 Deerhaven Rd, Mahwah, NJ 07430-2718 | 2005-11-15 |
| 1720588007 | Mary Ellen Rita Shea | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2018-02-13 |
| 1477075976 | Danielle Marie Albanese | Social Worker | 860 Wyckoff Ave, Mahwah, NJ 07430-3186 | 2017-07-17 |
| Find all providers in MAHWAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.