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HOLLY SELEPOUCHIN
NPI 1932757754
Social Worker - Clinical in East Stroudsburg, PA

Active since August 27, 2019PECOS Enrolled
527 HALLOWOOD DR, EAST STROUDSBURG, PA 18302(973) 670-6893 Get Directions Write a Review

NPPES record last updated: March 4, 2024. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Mar 4, 2024, Aug 27, 2019 (2 updates tracked since 2019).

About Holly Selepouchin NPPES

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

HOLLY SELEPOUCHIN (NPI 1932757754) is an individual clinical provider in East Stroudsburg, Pennsylvania, licensed in New Jersey (44SC058533900) and active in the NPI registry since August 2019. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1932757754
Entity TypeIndividualFemale
Primary Taxonomy1041C0700X
Provider Legal NameHOLLY SELEPOUCHIN
Location Address527 HALLOWOOD DREast Stroudsburg, PA 18302-7728
Mailing Address527 Hallowood DrEast Stroudsburg, PA 18302-7728
Phone(973) 670-6893
Sole ProprietorNo
Enumeration DateAugust 27, 2019
Last NPPES UpdateMarch 4, 20242 updates tracked since enumeration
NPPES CertifiedMarch 4, 2024
✔ NPI 1932757754 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 NJ · 44SC058533900
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.
527 HALLOWOOD DR, East Stroudsburg, PA 18302
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Accepted Insurance

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

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Holly Selepouchin 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.

Medicare Billing Reassignments

3

Medicare enrollment records show Holly Selepouchin reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Forge Medical Group, LLC
52 mi
Psychiatry
1500 PLEASANT VALLEY WAY STE 305
West Orange, NJ 07052
  • Reassigned Medicare billing, New Jersey enrollment
  • 34 clinicians in this Medicare group
NPI 1962175026 (973) 535-0627
Bluebird Therapy Center LLC
64 mi
Clinical
126 AYERS CT APT 1C
Teaneck, NJ 07666
  • Reassigned Medicare billing, New Jersey enrollment
  • 2 clinicians in this Medicare group
NPI 1033083688 (910) 777-7229
Mental Health Specialty Group PA
405 mi
Mental Health
110 N CORCORAN ST FL 5
Durham, NC 27701
  • Reassigned Medicare billing, Pennsylvania enrollment
  • 111 clinicians in this Medicare group
NPI 1801472634 (323) 205-7088

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 18302 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 $54.64 – $166.87
Typical copayment $0.00 (range $13.66 – $41.71)
Most-billed visit code NA
Established Patient
$68.36 typical visit price
range $17.33 – $135.84
Typical copayment $17.09 (range $4.33 – $33.96)
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 Holly Selepouchin's NPI number?

The NPI number for Holly Selepouchin is 1932757754. It was assigned to this individual provider in the NPPES registry on August 27, 2019.

Where is Holly Selepouchin located?

Holly Selepouchin practices at 527 Hallowood Dr, East Stroudsburg, PA 18302. The listed phone number is (973) 670-6893.

What is Holly Selepouchin's specialty?

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

Is Holly Selepouchin enrolled in Medicare?

Yes. Holly Selepouchin is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Holly Selepouchin's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Holly Selepouchin reassigns Medicare benefits to 3 organizations: Forge Medical Group, LLC (West Orange, NJ), Bluebird Therapy Center LLC (Teaneck, NJ) and Mental Health Specialty Group PA (Durham, NC). Each 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 Holly Selepouchin's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Holly Selepouchin accept?

Health plans from Oscar Health list Holly Selepouchin 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 Holly Selepouchin was last updated on March 4, 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.