Provider Demographics
NPI:1114797420
Name:SELIAN, MARIA MCGUFF (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:MCGUFF
Last Name:SELIAN
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:375 INDIAN AVE
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-5153
Mailing Address - Country:US
Mailing Address - Phone:978-505-8295
Mailing Address - Fax:
Practice Address - Street 1:375 INDIAN AVE
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-5153
Practice Address - Country:US
Practice Address - Phone:978-505-8295
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-01-08
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICSW035471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical