NPI Registry.org

Jan Selander

NPI Registration Record

Provider / OrganizationNPIDate Certified
JAN SELANDER13961383502021-11-21

Jan M Selander [F] graduated in 2009 and primarily specializes in Clinical Social Worker.

Jan Selander is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1396138350. Registration indicates Jan Selander is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker: Clinical, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker Clinical, Behavioral Health & Social Service Providers) (Social Worker, )

PECOS ID9638473887
RegistrationPART-B:Y
DME:Y
HHA:N
PMD:N
Entity TypeIndividual
Provider Name Jan Selander LCSW
Practice Office Address4320 SPRING CREEK RD STE 12
ROCKFORD, IL US
Practice Office Telephone8155206972
Practice Office Fax8159046419
Mailing Address4320 SPRING CREEK RD STE 12
ROCKFORD, IL 611071157 US
Business Telephone8155206972
Business Fax8159046419
Offices / Locations
AddressCity / StatePhone / Fax
4615 E State St Suite 130Rockford, IL 611082100 8153913055
HPT Codes
CodePractice
License No
State
104100000XAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker

Behavioral Health/Substance Abuse/Psychiatry

Social Worker
Behavioral Health & Social Service Providers
150.012163
IL
1041C0700X PRIMARYAccess to Mental Health/Behavioral Health Providers
Behavioral Health & Social Service Providers
Social Worker
Behavioral Health & Social Service Providers
Social Worker
Social Worker: Clinical

Behavioral Health/Substance Abuse/Psychiatry

Social Worker Clinical
Behavioral Health & Social Service Providers
Social Worker
149017603
IL
OPI Codes
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