Provider Demographics
NPI:1245336924
Name:KAYLOR, SELLINA V (LCSW-C)
Entity type:Individual
Prefix:MS
First Name:SELLINA
Middle Name:V
Last Name:KAYLOR
Suffix:
Gender:
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2023
Mailing Address - Street 2:
Mailing Address - City:PRINCE FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:20678-2023
Mailing Address - Country:US
Mailing Address - Phone:443-624-1940
Mailing Address - Fax:
Practice Address - Street 1:134 MAIN ST STE 102B
Practice Address - Street 2:
Practice Address - City:PRINCE FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:20678-6150
Practice Address - Country:US
Practice Address - Phone:443-624-1940
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-16
Last Update Date:2025-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDMD 127561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD100092158OtherAPS
MD7203747OtherAETNA
MD832425000OtherMAGELLAN
MD2138372OtherM.D.IPA
MD254476OtherKAISER PERMANENTE
MD366839OtherMHN
MDK103HIOtherBC/BS OF MARYLAND