Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Micayla M Selissen, LCSW

Individual provider Clinical Social Worker · NPI 1316689565

Micayla M Selissen, LCSW is a Clinical Social Worker in De Pere, Wisconsin. Qualified in 2021, 5 years ago. Practices with Bellin Memorial Hospital Inc, a 681-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Wisconsin.

Years since qualifying
5
Licensed in
WI
In the registry since
2022
Specialties on file
2
What do these letters mean?
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

1325 Angels Path
De Pere, WI 54115-4050
Phone: (920) 338-2855
Fax: (920) 338-9270
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 4635 W College Ave, Appleton, WI 54914-8507 — (920) 750-7000

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 11174-123 (WI)
Social Worker Taxonomy 104100000X · Licence 132403 (WI)

Record details

NPI number1316689565
Entity typeIndividual (Type 1)
GenderFemale
Credentials LCSW
Sole proprietorNo
NPI enumeratedApril 8, 2022
Last updated in NPPESSeptember 27, 2024
Certification dateSeptember 27, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Group practice Bellin Memorial Hospital Inc — 681 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in De Pere