MICKAYLA SELEMBO LLMSW
NPI 1356035539
Social Worker in Lansing, MI

Q: What is Mickayla Selembo's NPI number?

The NPI number for Mickayla Selembo is 1356035539. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Q: What is Mickayla Selembo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Q: When was this NPI record last updated?

The NPPES record for Mickayla Selembo was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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 June 08, 2023PECOS Enrolled

812 E JOLLY RD, LANSING, MI 48910(517) 346-8275 Get Directions Write a Review

NPPES record last updated: December 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 12, 2025, Jun 8, 2023 (2 updates tracked since 2023).

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About Mickayla Selembo Llmsw NPPES

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

MICKAYLA SELEMBO LLMSW (NPI 1356035539) is an individual social worker in Lansing, Michigan, licensed in Michigan (6801121342) and active in the NPI registry since June 2023. She is enrolled in Medicare PECOS and is a graduate of Other (2023).

NPPES Registry Identity

NPI1356035539

Entity TypeIndividualFemale

Primary Taxonomy104100000X

Provider Legal NameMICKAYLA SELEMBOCredential: LLMSW

Location Address812 E JOLLY RDLansing, MI 48910-6818

Mailing Address812 E Jolly RdLansing, MI 48910-6818 · (517) 346-8275

Phone(517) 346-8275

Sole ProprietorYes

Medical School CMSOtherGraduated 2023

Enumeration DateJune 8, 2023

Last NPPES UpdateDecember 12, 20252 updates tracked since enumeration

NPPES CertifiedDecember 12, 2025

✔ NPI 1356035539 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial WorkerBehavioral Health & Social Service Providers

Taxonomy Code104100000X

License✔ Licensed in MI · 6801121342

Definition

A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

812 E JOLLY RD, Lansing, MI 48910

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Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Mickayla Selembo Llmsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID4183106982

PECOS Enrollment IDI20260302002261

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.

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.

DAVID A ENTERLINE LMSW

Social Worker (Clinical)

812 E JOLLY RD, G-14
LANSING, MI 48910

Ingham County (517) 346-8409

MARSHA LEEK LPN

Licensed Practical Nurse

812 E JOLLY RD
LANSING, MI 48910

Ingham County (517) 346-8200

GREG FOX RSW

Social Worker

812 E JOLLY RD, STE G-10
LANSING, MI 48910

Ingham County (517) 346-8269

RONALD R CLARK CSW

Social Worker (Clinical)

812 E JOLLY RD, STE G14
LANSING, MI 48910

Ingham County (517) 346-8279

JENNIFER ELIZABETH BRIERE

Social Worker (Clinical)

812 E JOLLY RD, SUITE 215
LANSING, MI 48910

Ingham County (517) 346-8410

CHRISTINE GRABAREK RN

Registered Nurse

812 E JOLLY RD, STE 112
LANSING, MI 48910

Ingham County (517) 346-8403

MARY ALICE HILLIARD CSW

Social Worker (Clinical)

812 E JOLLY RD, 215A
LANSING, MI 48910

Ingham County (517) 346-8326

LAUREN C RADKE LPC

Counselor (Professional)

812 E JOLLY RD, STE 216
LANSING, MI 48910

Ingham County (517) 346-9579

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 Mickayla Selembo's NPI number?

The NPI number for Mickayla Selembo is 1356035539. It was assigned to this individual provider in the NPPES registry on June 8, 2023.

Where is Mickayla Selembo located?

Mickayla Selembo practices at 812 E Jolly Rd, Lansing, MI 48910. The listed phone number is (517) 346-8275.

What is Mickayla Selembo's specialty?

The primary specialty registered for this NPI is Social Worker with taxonomy code 104100000X.

Is Mickayla Selembo enrolled in Medicare?

Yes. Mickayla Selembo is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Mickayla Selembo was last updated on December 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.