Provider Demographics
NPI:1578321907
Name:SELFE, CELIA DEAN (LCSW)
Entity Type:Individual
Prefix:
First Name:CELIA
Middle Name:DEAN
Last Name:SELFE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:CELIA
Other - Middle Name:D
Other - Last Name:SELFE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:136 W ELIZABETH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:HARRISONBURG
Mailing Address - State:VA
Mailing Address - Zip Code:22802-3855
Mailing Address - Country:US
Mailing Address - Phone:540-564-5100
Mailing Address - Fax:
Practice Address - Street 1:136 W ELIZABETH ST STE 201
Practice Address - Street 2:
Practice Address - City:HARRISONBURG
Practice Address - State:VA
Practice Address - Zip Code:22802-3855
Practice Address - Country:US
Practice Address - Phone:540-564-5100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-11
Last Update Date:2024-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040163451041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical