Healthcare Provider Details

I. General information

NPI: 1477489755
Provider Name (Legal Business Name): MONICA SALAZAR-CARMONA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/23/2026
Last Update Date: 06/23/2026
Certification Date: 06/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14 MALDEN ST APT C11
WORCESTER MA
01606-1006
US

IV. Provider business mailing address

14 MALDEN ST APT C11
WORCESTER MA
01606-1006
US

V. Phone/Fax

Practice location:
  • Phone: 774-386-0688
  • Fax:
Mailing address:
  • Phone: 774-386-0688
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: