MEDICARE: MISS ERICA SALMON M.S.W

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	SW12625	FL

General Provider Information

NPI Number	:	1316294770
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MISS ERICA SALMON M.S.W

Provider Business Mailing Address
First Line	:	2112 S CONGRESS AVE STE 104
Second Line	:
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7670
Country	:	US
Telephone Number	:	561-653-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	2112 S CONGRESS AVE
Second Line	:	104
City	:	PALM SPRINGS
State	:	FL
Zip	:	33406-7670
Country	:	US
Telephone Number	:	561-653-6292
Fax Number	:

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

Provider Enumeration Date	:	08/04/2012
Last Update Date	:	04/06/2026

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