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CAROL E. SEDDON
NPI 1376157313
Social Worker - Clinical in Timonium, MD

Active since September 08, 2020PECOS Enrolled
217 FALLSBROOK RD, TIMONIUM, MD 21093(443) 465-8795 Get Directions Write a Review

NPPES record last updated: September 8, 2020. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Carol E. Seddon NPPES

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

CAROL E. SEDDON (NPI 1376157313) is an individual clinical provider in Timonium, Maryland, licensed in Maryland (06568) and active in the NPI registry since September 2020. She is enrolled in Medicare PECOS and is a graduate of Other (1988).

NPPES Registry Identity

NPI1376157313
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameCAROL E. SEDDON
Location Address217 FALLSBROOK RDTimonium, MD 21093-2628
Mailing Address217 Fallsbrook RdTimonium, MD 21093-2628 · (443) 465-8795
Phone(443) 465-8795
Sole ProprietorYes
Medical School CMSOtherGraduated 1988
Enumeration DateSeptember 8, 2020
NPPES CertifiedSeptember 8, 2020
✔ NPI 1376157313 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 MD · 06568
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.
217 FALLSBROOK RD, Timonium, MD 21093
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Accepted Insurance

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

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Carol E. Seddon is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID9436633690
PECOS Enrollment IDI20260325002570
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.

Medicare Billing Reassignment

Medicare enrollment records show Carol Seddon reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Optum Behavioral Care Of Colorado, P.C.
645 mi
Clinical
12970 W BLUEMOUND RD STE 200
Elm Grove, WI 53122
  • Reassigned Medicare billing, Wisconsin enrollment
  • Medicare enrollment name: Optum Behavioral Care Of Colorado PC
  • 2 clinicians in this Medicare group
NPI 1750151189 (704) 506-6267

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 21093 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 $60.73 – $183.44
Typical copayment $0.00 (range $15.18 – $45.86)
Most-billed visit code NA
Established Patient
$75.47 typical visit price
range $19.60 – $149.17
Typical copayment $18.86 (range $4.90 – $37.29)
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.

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 Carol Seddon's NPI number?

The NPI number for Carol Seddon is 1376157313. It was assigned to this individual provider in the NPPES registry on September 8, 2020.

Where is Carol Seddon located?

Carol Seddon practices at 217 Fallsbrook Rd, Timonium, MD 21093. The listed phone number is (443) 465-8795.

What is Carol Seddon's specialty?

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

Is Carol Seddon enrolled in Medicare?

Yes. Carol Seddon is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Carol Seddon's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Carol Seddon reassigns Medicare benefits to Optum Behavioral Care Of Colorado, P.C. (Elm Grove, WI). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Carol Seddon's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Carol Seddon accept?

Health plans from UnitedHealthcare list Carol Seddon 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 Carol Seddon was last updated on September 8, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.