Healthcare Provider Details

I. General information

NPI: 1881432722
Provider Name (Legal Business Name): MADISON SALTZMAN M.S., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/16/2024
Last Update Date: 12/18/2025
Certification Date: 12/18/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 REDFIELD ST STE 105
DORCHESTER MA
02122-3640
US

IV. Provider business mailing address

605 E 5TH ST UNIT 1
SOUTH BOSTON MA
02127-3139
US

V. Phone/Fax

Practice location:
  • Phone: 508-404-5731
  • Fax:
Mailing address:
  • Phone: 215-430-3696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLMHC10004581
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: