Healthcare Provider Details

I. General information

NPI: 1710252754
Provider Name (Legal Business Name): ARTURO M. SALAZAR CADTP, CASOMB, LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/08/2012
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

941 SPRING ST STE 7
PLACERVILLE CA
95667-4546
US

IV. Provider business mailing address

PO BOX 188133
SACRAMENTO CA
95818-8133
US

V. Phone/Fax

Practice location:
  • Phone: 530-409-2927
  • Fax: 530-698-5241
Mailing address:
  • Phone: 530-409-6234
  • Fax: 530-698-5241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107860
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number107860
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number7681
License Number StateCA
# 4
Primary TaxonomyN
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number250073312
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: