NICOLE KATHLEEN SELLIN (LICSW) – Clinical Social Worker, NPI 1376885491

NICOLE KATHLEEN SELLIN (LICSW) is a healthcare provider. based in West st paul, Minnesota. specializing in CLINICAL SOCIAL WORKER. They hold the professional credentials LICSW. They hold a License No. 13984 (MN). The NPI Number for NICOLE KATHLEEN SELLIN (LICSW) is 1376885491

Main info

Female
Sole Proprietor
31 Years Of Experience
Accepts Medicare Assignment
Name
NICOLE KATHLEEN SELLIN (LICSW)
NPI
1376885491
Phone
(651) 271-3136
Address
955 OTTAWA AVE
Enumeration Date
27 March 2013
Last Update Date
27 March 2013

Doctor Profile

Medical School Name
OTHER
Secondary Phone
9094363034
Graduation Year
1995 (31 years ago)
PAC ID
3971801200
Group Practice PAC ID
7012826878
Professional Enrollment ID
I20201022001829
Address ID
CA923529706LA29101RDXX300
Telehealth
Yes
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

2,310 CLINICAL SOCIAL WORKER in MN

Provider Addresses for NICOLE KATHLEEN SELLIN (LICSW)

  • 955 OTTAWA AVE

    WEST ST PAUL, MN 551181123

    Phone: (651) 271-3136

    Type: Mailing

  • 345 SMITH AVE N

    SAINT PAUL, MN 551022346

    Phone: (651) 220-6000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2020-10-22

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20160419002564IClinical Social WorkerMNTBD
I20201022001829IClinical Social WorkerCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 55118)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7012826878View full group profile
NameSpecialtyState
Clinical PsychologistCA
Family PracticeCA
Nurse PractitionerCA
Nurse PractitionerCA
Internal Medicine, Family PracticeCA
Nurse PractitionerCA
General SurgeryAZ
-CA
O B S T E T R I C S/ G Y N E C O L O G YCA
Clinical Social WorkerCA

Reviews

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Frequently asked questions

Is there an official ID for NICOLE KATHLEEN SELLIN (LICSW) in U.S. healthcare records?
The official identifier for NICOLE KATHLEEN SELLIN (LICSW) is NPI 1376885491.
Is there an active status for NICOLE KATHLEEN SELLIN (LICSW)?
For scheduling context, NICOLE KATHLEEN SELLIN (LICSW) is shown as active in the registry.
What expertise is attributed to NICOLE KATHLEEN SELLIN (LICSW)?
NICOLE KATHLEEN SELLIN (LICSW)'s specialty line reads Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is NICOLE KATHLEEN SELLIN (LICSW) located near West St Paul?
NICOLE KATHLEEN SELLIN (LICSW) currently maps to West St Paul, Minnesota in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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