Healthcare Provider Details

I. General information

NPI: 1609421411
Provider Name (Legal Business Name): DANIELA OLIVIA SALGADO DOS SANTOS LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/08/2019
Last Update Date: 04/18/2024
Certification Date: 04/18/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1409 ASHEVILLE HWY
BREVARD NC
28712-9524
US

IV. Provider business mailing address

1409 ASHEVILLE HWY
BREVARD NC
28712-9524
US

V. Phone/Fax

Practice location:
  • Phone: 828-435-8400
  • Fax: 828-435-8401
Mailing address:
  • Phone: 284-358-4008
  • Fax: 828-435-8401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberC014826
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: