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

Mr. Samuel Tyler Selekman, LISW

Individual provider Social Worker · NPI 1144201070

Mr. Samuel Tyler Selekman, LISW is a Clinical Social Worker in Beachwood, Ohio. Qualified in 1952, 74 years ago. Accepts Medicare assignment. Licensed in Ohio.

Years since qualifying
74
Licensed in
OH
In the registry since
2005
What do these letters mean?
LISW — Licensed Independent Social Worker
A social worker licensed to practise independently.

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Practice location Address checks out

3733 Park East Dr #102
Beachwood, OH 44122
Phone: (216) 401-3472
Fax: (216) 292-3291
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Social Worker (primary) Taxonomy 104100000X · Licence I 0003651 (OH)

Record details

NPI number1144201070
Entity typeIndividual (Type 1)
GenderMale
Credentials LISW
Sole proprietorNo
NPI enumeratedNovember 8, 2005
Last updated in NPPESJuly 8, 2007

Medicare enrollment

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

Medicare specialtyCLINICAL SOCIAL WORKER
Medical schoolOTHER
Graduated 1952 (74 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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