Healthcare Provider Details

I. General information

NPI: 1578321907
Provider Name (Legal Business Name): CELIA DEAN SELFE LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CELIA D SELFE

II. Dates (important events)

Enumeration Date: 03/11/2024
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2275 HEALTH CAMPUS DR # 1
ROCKINGHAM VA
22801-8809
US

IV. Provider business mailing address

136 W ELIZABETH ST STE 201
HARRISONBURG VA
22802-3855
US

V. Phone/Fax

Practice location:
  • Phone: 540-689-4707
  • Fax: 833-813-0346
Mailing address:
  • Phone: 540-564-5100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number0904016345
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: