MICAYLA M SELISSEN LCSW
NPI 1316689565
Social Worker - Clinical in De Pere, WI

Active since April 08, 2022PECOS EnrolledAccepts Medicare Assignment
1325 ANGELS PATH, DE PERE, WI 54115(920) 338-2855(920) 338-9270 Get Directions Write a Review

NPPES record last updated: September 27, 2024. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Sep 27, 2024, May 30, 2023, Apr 8, 2022 (3 updates tracked since 2022).

About Micayla M Selissen Lcsw NPPES

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

MICAYLA M SELISSEN LCSW (NPI 1316689565) is an individual clinical provider in De Pere, Wisconsin, licensed in Wisconsin (11174-123) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Appleton, and is a graduate of Other (2021).

NPPES Registry Identity

NPI1316689565
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameMICAYLA M SELISSENCredential: LCSW
Location Address1325 ANGELS PATHDe Pere, WI 54115-4050
Mailing AddressPo Box 22040Green Bay, WI 54305-2040 · (920) 445-7210 · Fax (920) 445-7289
Fax(920) 338-9270
Sole ProprietorNo
Medical School CMSOtherGraduated 2021
Enumeration DateApril 8, 2022
Last NPPES UpdateSeptember 27, 20243 updates tracked since enumeration
NPPES CertifiedSeptember 27, 2024
NPI 1316689565 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in WI · 11174-123
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.

Also ListedSocial WorkerTaxonomy 104100000X · License 132403 (WI)
1325 ANGELS PATH, De Pere, WI 54115

Other Names 1

Former Name (1)Micayla M Fritsch

Secondary Practice Location 1

Location 14635 W College AveAppleton, WI 54914-8507 · Phone (920) 750-7000 · Fax (920) 882-5495

Accepted 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

Micayla M Selissen 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 ID2769847599
PECOS Enrollment IDI20230501002979
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 54115 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 $53.90 – $163.24
Typical copayment $0.00 (range $13.47 – $40.81)
Most-billed visit code NA
Established Patient
$67.37 typical visit price
range $17.40 – $133.76
Typical copayment $16.84 (range $4.35 – $33.44)
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 20

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

Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Counselor (Professional)
1325 ANGELS PATH
DE PERE, WI 54115
Nurse Practitioner (Psychiatric/Mental Health)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Social Worker (Clinical)
1325 ANGELS PATH
DE PERE, WI 54115
Psychiatry & Neurology (Psychiatry)
1325 ANGELS PATH
DE PERE, WI 54115

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Micayla Selissen's NPI number?

The NPI number for Micayla Selissen is 1316689565. It was assigned to this individual provider in the NPPES registry on April 8, 2022. The provider is also known as Micayla M Fritsch.

Where is Micayla Selissen located?

Micayla Selissen practices at 1325 Angels Path, De Pere, WI 54115. The listed phone number is (920) 338-2855.

What is Micayla Selissen's specialty?

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

Is Micayla Selissen enrolled in Medicare?

Yes. Micayla Selissen is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Micayla Selissen accept?

Health plans from Anthem Blue Cross and Blue Shield, Aspirus Health Plan, CareSource (Common Ground Healthcare), HealthPartners and Medica list Micayla Selissen as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Micayla Selissen was last updated on September 27, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.