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SUSAN KAY SELOCK LCSW
NPI 1649708926
Social Worker - Clinical in Herrin, IL

Active since May 31, 2017PECOS Enrolled
75.73/100
CMS Quality Rating
317 S 14TH ST STE 1, HERRIN, IL 62948(618) 988-6171(618) 351-6491 Get Directions Write a Review

NPPES record last updated: September 28, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Sep 28, 2021, Jan 11, 2021, Jun 3, 2019 and 1 more (4 updates tracked since 2017).

About Susan Kay Selock Lcsw NPPES

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

SUSAN KAY SELOCK LCSW (NPI 1649708926) is an individual clinical provider in Herrin, Illinois, licensed in Illinois (149012440) and active in the NPI registry since May 2017. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1649708926
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameSUSAN KAY SELOCKCredential: LCSW
Location Address317 S 14TH ST STE 1Herrin, IL 62948-3673
Mailing AddressPo Box 3988Carbondale, IL 62902-3988 · (618) 457-5200
Phone(618) 988-6171
Fax(618) 351-6491
Sole ProprietorNo
Enumeration DateMay 31, 2017
Last NPPES UpdateSeptember 28, 20214 updates tracked since enumeration
NPPES CertifiedSeptember 28, 2021
✔ NPI 1649708926 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 · 149012440
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.
317 S 14TH ST STE 1, Herrin, IL 62948
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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)

Susan Kay Selock Lcsw is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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.

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Psychotherapy, 45 minutes 90834
Psychotherapy is a treatment method where you converse with a therapist about your thoughts, feelings, and behaviors. In a 45-minute session, the therapist assists you in understanding and managing your mental health concerns, improving emotional wellness, and promoting personal growth.
28 services12 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 62948 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.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

75.73/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality63.09
Promoting Interoperability100
Improvement Activities40
Cost45.26

Other Providers at the Same Location NPPES 3

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

DR. CYRIL KAMYA M.D
Surgery
317 S 14TH ST STE 1
HERRIN, IL 62948
Williamson County (618) 988-6171
KRISTI SIERZEGA LCSW, CADC
Social Worker (Clinical)
317 S 14TH ST STE 1
HERRIN, IL 62948
Williamson County (618) 988-6171
AIMEE BELT APN
Nurse Practitioner
317 S 14TH ST STE 1
HERRIN, IL 62948
Williamson County (618) 988-6171

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 Susan Selock's NPI number?

The NPI number for Susan Selock is 1649708926. It was assigned to this individual provider in the NPPES registry on May 31, 2017.

Where is Susan Selock located?

Susan Selock practices at 317 S 14th St Ste 1, Herrin, IL 62948. The listed phone number is (618) 988-6171.

What is Susan Selock's specialty?

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

Is Susan Selock enrolled in Medicare?

Yes. Susan Selock is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Susan Selock was last updated on September 28, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.