ANDREW W SELANDER MSW, LCSW
NPI 1104300664
Social Worker - Clinical in Rockford, IL

Q: What is Andrew Selander's NPI number?

The NPI number for Andrew Selander is 1104300664. It was assigned to this individual provider in the NPPES registry on September 20, 2018.

Q: What is Andrew Selander's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Q: When was this NPI record last updated?

The NPPES record for Andrew Selander was last updated on August 20, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since September 20, 2018PECOS EnrolledAccepts Medicare Assignment

6735 VISTAGREEN WAY STE 210, ROCKFORD, IL 61107(815) 391-3055 Get Directions Write a Review

NPPES record last updated: August 20, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 20, 2024, Jun 23, 2021, Sep 20, 2018 (3 updates tracked since 2018).

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About Andrew W Selander Msw, Lcsw NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ANDREW W SELANDER MSW, LCSW (NPI 1104300664) is an individual clinical provider in Rockford, Illinois, licensed in Illinois (149020604) and active in the NPI registry since September 2018. He is enrolled in Medicare PECOS and is a graduate of Other (2015).

NPPES Registry Identity

NPI1104300664

Entity TypeIndividualMale

Primary Taxonomy1041C0700X

Provider Legal NameANDREW W SELANDERCredential: MSW, LCSW

Location Address6735 VISTAGREEN WAY STE 210Rockford, IL 61107-5654

Mailing Address4209 Cushman RdRockford, IL 61114-6109

Phone(815) 391-3055

Sole ProprietorYes

Medical School CMSOtherGraduated 2015

Enumeration DateSeptember 20, 2018

Last NPPES UpdateAugust 20, 20243 updates tracked since enumeration

NPPES CertifiedAugust 20, 2024

✔ NPI 1104300664 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code1041C0700X

License✔ Licensed in IL · 149020604

Definition

A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

6735 VISTAGREEN WAY STE 210, Rockford, IL 61107

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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Quartz.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Andrew W Selander Msw, Lcsw is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8022345768

PECOS Enrollment IDI20190803000048

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 61107 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$0.00 typical visit price

range $54.80 – $168.44

Typical copayment $0.00 (range $13.70 – $42.11)

Most-billed visit code NA

Established Patient

$68.64 typical visit price

range $17.16 – $136.56

Typical copayment $17.16 (range $4.29 – $34.14)

Most-billed visit code 99213

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAULA TRIPODI L.C.S.W.

Social Worker (Clinical)