Active NPIIndividual providerSole proprietor

Ms. Selden D Illick, LCSW

Social Worker, Clinical in Pennington, New Jersey

NPI Number1295872059
Practice location
100 Straube Center Blvd, Box H1, Pennington, NJ 08534-1447
Fax
609-737-7499
Last updated
July 8, 2007

Selden Dunbar Illick is a Social Worker, Clinical based in Pennington, NJ. Selden Dunbar Illick practices in Pennington, NJ and has the professional credentials of LCSW. The NPI Number for Selden Dunbar Illick is 1295872059 and holds a License No. 44SC00669000 (NJ). The current practice location address for Selden Dunbar Illick is 100 Straube Center Blvd, Box H1, Pennington, NJ 08534-1447 and can be reached out via phone at 609-737-7797 and via fax at 609-737-7499.

Provider Profile Details

NPI Number
1295872059
Provider Name
Selden Dunbar Illick
Credential
LCSW
Provider Entity Type
Individual
Gender
Female
Address
100 Straube Center Blvd, Box H1, Pennington, NJ 08534-1447
Phone Number
609-737-7797
Fax Number
609-737-7499
Primary Taxonomy
Social Worker, Clinical · 1041C0700X
Sole Proprietor
Yes
Provider Enumeration Date
January 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
100 Straube Center Blvd
Box H1
Pennington, NJ 08534-1447
Zip
08534-1447
Phone Number
609-737-7797
Fax Number
609-737-7499
Pennington, NJ 08534Get directions →

Provider Business Mailing Address Details

Address
100 Straube Center Blvd
Box H1
Pennington, NJ 08534-1447
City
Pennington
State
NJ
Zip
08534-1447
Phone Number
609-737-7797
Fax Number
609-737-7499

License Information

License Number
44SC00669000
License State
NJ
Taxonomy
Social Worker, Clinical · 1041C0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Selden D Illick, LCSW?

The NPI number of Ms. Selden D Illick, LCSW is 1295872059. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Ms. Selden D Illick, LCSW?

Ms. Selden D Illick, LCSW is registered under the primary taxonomy Social Worker, Clinical (code 1041C0700X), licensed in NJ under license number 44SC00669000.

Where does Ms. Selden D Illick, LCSW practice?

The practice location is 100 Straube Center Blvd, Box H1, Pennington, NJ 08534-1447. The office can be reached at 609-737-7797 (phone) or 609-737-7499 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1295872059 directly on the NPPES registry website.

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