Micayla M. Selissen, LCSW
NPI 1316689565ActiveIndividual· Social Worker, Clinical· De Pere, WI
Social Worker, Clinical (LCSW) with Bellin Memorial Hospital Inc, practicing in De Pere, Wisconsin. Enrolled in Medicare as practitioner - clinical social worker.
Overview
| NPI | 1316689565 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | LCSW |
| Sole proprietor | No |
| NPI issued | Apr 8, 2022 |
| Last updated in NPPES | Sep 27, 2024 |
| Certified by provider | Sep 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 11174-123 | WI |
| Social Worker | 104100000X | 132403 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Clinical Social Worker (WI) |
|---|
Education and affiliations
| Graduation year | 2021 |
|---|---|
| Medicare specialty | Clinical Social Worker |
| Telehealth | Offers telehealth |
Medical group
- Bellin Memorial Hospital IncGreen Bay, WI · 697 clinicians
Other clinical social workers in De Pere
- 1124911508
- 1205853801
- 1396622494
- 1467723064
- 1518507235
- 1649616764
- 1679668859
- 1780649434
- 1184092884
- 1265765564
- 1477052579
- 1518732726
All 36 clinical social workers in De Pere · All clinical social workers in Wisconsin