MEDICARE: MRS. DENISE MARIE SALAGE LCSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	096650	NY

General Provider Information

NPI Number	:	1295372597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. DENISE MARIE SALAGE LCSW

Provider Business Mailing Address
First Line	:	231 LAKE AVE
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2729
Country	:	US
Telephone Number	:	518-450-3955
Fax Number	:

Provider Business Practice Location Address
First Line	:	231 LAKE AVE
Second Line	:
City	:	SARATOGA SPRINGS
State	:	NY
Zip	:	12866-2729
Country	:	US
Telephone Number	:	518-650-3159
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/05/2019
Last Update Date	:	03/11/2025

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