Provider Demographics
NPI:1467970848
Name:SELLERS, CHRISTY LYNN (LCSW-C)
Entity type:Individual
Prefix:
First Name:CHRISTY
Middle Name:LYNN
Last Name:SELLERS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:CHRISTY
Other - Middle Name:LYNN
Other - Last Name:LAMBERT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:12584 NATIONAL PIKE
Mailing Address - Street 2:
Mailing Address - City:GRANTSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21536-3310
Mailing Address - Country:US
Mailing Address - Phone:301-895-8047
Mailing Address - Fax:
Practice Address - Street 1:12584 NATIONAL PIKE
Practice Address - Street 2:
Practice Address - City:GRANTSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21536-3310
Practice Address - Country:US
Practice Address - Phone:301-895-8047
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-06
Last Update Date:2025-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22850104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD589361502Medicaid