Provider Demographics
NPI:1609077817
Name:SELINSKE, JANE ELLEN (EDD, LCSW LP)
Entity Type:Individual
Prefix:DR
First Name:JANE
Middle Name:ELLEN
Last Name:SELINSKE
Suffix:
Gender:F
Credentials:EDD, LCSW LP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22 OAKLAND TER
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07106-1615
Mailing Address - Country:US
Mailing Address - Phone:973-375-1973
Mailing Address - Fax:
Practice Address - Street 1:ONE BELLEVUE PLAZA
Practice Address - Street 2:SUITE 2
Practice Address - City:UPPER MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07043-1460
Practice Address - Country:US
Practice Address - Phone:201-615-2889
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC008170001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical