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

Mickayla Selembo, LLMSW

Individual provider Social Worker · NPI 1356035539

Mickayla Selembo, LLMSW is a Clinical Social Worker in Lansing, Michigan. Qualified in 2023, 3 years ago. Practices as a sole proprietor. Licensed in Michigan.

Years since qualifying
3
Licensed in
MI
In the registry since
2023

Practice location Address checks out

812 E Jolly Rd
Lansing, MI 48910-6818
Phone: (517) 346-8275
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence 6801121342 (MI)

Record details

NPI number1356035539
Entity typeIndividual (Type 1)
GenderFemale
Credentials LLMSW
Sole proprietorYes
NPI enumeratedJune 8, 2023
Last updated in NPPESDecember 12, 2025
Certification dateDecember 12, 2025
Mailing address812 E Jolly Rd, Lansing, MI 48910-6818

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

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