Healthcare Provider Details

I. General information

NPI: 1932020963
Provider Name (Legal Business Name): CAROLYN SALVI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

675 MAIN ST
WALTHAM MA
02451-0602
US

IV. Provider business mailing address

25 TEEL ST APT 1
ARLINGTON MA
02474-5558
US

V. Phone/Fax

Practice location:
  • Phone: 781-893-5110
  • Fax:
Mailing address:
  • Phone: 617-913-6584
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: