Healthcare Provider Details

I. General information

NPI: 1477069870
Provider Name (Legal Business Name): YESENIA SALGADO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/20/2017
Last Update Date: 07/15/2026
Certification Date: 07/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 W WALTON AVE
MUSKEGON MI
49440-1360
US

IV. Provider business mailing address

2831 GLENSIDE BLVD
MUSKEGON MI
49441-3801
US

V. Phone/Fax

Practice location:
  • Phone: 231-722-7980
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number6851103728
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: