Healthcare Provider Details

I. General information

NPI: 1053497917
Provider Name (Legal Business Name): MARIA L. SALGADO LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/31/2006
Last Update Date: 07/28/2021
Certification Date: 07/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5835 S EASTERN AVE STE 2
COMMERCE CA
90040-4029
US

IV. Provider business mailing address

PO BOX 41773
LOS ANGELES CA
90041-0773
US

V. Phone/Fax

Practice location:
  • Phone: 213-925-5555
  • Fax:
Mailing address:
  • Phone: 213-925-5555
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCSW21446
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: