National Provider Identifier
Shadoe Sellers SR., LMSW
Shadoe Sellers SR., LMSW is listed in the NPPES registry with a primary specialty of Social Worker in Bath, NY and a listed phone number of (607) 664-4347.
Profile Overview
- NPI
- 1154119949
- Provider Type
- Individual
- Primary Specialty
- Social Worker
- Enumeration Date
- April 30, 2025
- Last Updated
- April 30, 2025
Practice Location
- 76 Veterans Ave
- Bath, NY 14810-0810
Phone: (607) 664-4347
Specialties
- Social Worker (104100000X)
Full Record
- NPI
- 1154119949
- Entity Type
- Individual
- Last Name
- Sellers
- First Name
- Shadoe
- Name Suffix
- SR.
- Credential
- LMSW
- Mailing Street Address
- 76 Veterans Ave
- Mailing City
- Bath
- Mailing State
- NY
- Mailing ZIP Code
- 14810-0810
- Mailing Country
- US
- Practice Street Address
- 76 Veterans Ave
- Practice City
- Bath
- Practice State
- NY
- Practice ZIP Code
- 14810-0810
- Practice Country
- US
- Practice Phone
- (607) 664-4347
- Enumeration Date
- April 30, 2025
- Last Updated
- April 30, 2025
- Sex
- Male
- Sole Proprietor
- No
- Certification Date
- April 30, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Social Worker (104100000X)