Healthcare Provider Details

I. General information

NPI: 1124272273
Provider Name (Legal Business Name): SALVADOR ARIAS LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/14/2008
Last Update Date: 03/12/2025
Certification Date: 03/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5500 RAMONA CT
BAKERSFIELD CA
93304-7203
US

IV. Provider business mailing address

5500 RAMONA CT
BAKERSFIELD CA
93304-7203
US

V. Phone/Fax

Practice location:
  • Phone: 661-549-4842
  • Fax:
Mailing address:
  • Phone: 661-549-4842
  • Fax: 661-852-5661

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number95427
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License NumberASW72994
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License NumberN/A
License Number State
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW95427
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: