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1184579476 NPI number — OSVALDO SALCEDO LCSW

NPI Number: 1184579476
Health Care Provider/Practitioner: OSVALDO SALCEDO LCSW

Information about “1184579476” NPI (OSVALDO SALCEDO LCSW) exists in 1184579476 in HTML format HTML  |  1184579476 in plain Text format TXT  |  1184579476 in PDF (Portable Document Format) PDF  |  1184579476 in an XML format XML  formats.

NPI Number : 1184579476 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1184579476",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SALCEDO",
    "FirstName": "OSVALDO",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "LCSW",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "4315 PEACHTREE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "MYRTLE BEACH",
    "MailingAddressStateName": "SC",
    "MailingAddressPostalCode": "29588-8914",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "804-388-3507",
    "MailingAddressFaxNumber": "855-950-4899",
    "FirstLinePracticeLocationAddress": "433 S CARLTON AVE",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WHEATON",
    "PracticeLocationAddressStateName": "IL",
    "PracticeLocationAddressPostalCode": "60187-4872",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "630-871-8387",
    "PracticeLocationAddressFaxNumber": "630-653-6748",
    "EnumerationDate": "03/02/2026",
    "LastUpdateDate": "03/02/2026",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "M",
    "Gender": "Male",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1041C0700X",
        "TaxonomyName": "Clinical Social Worker",
        "LicenseNumber": "149-026723",
        "LicenseNumberStateCode": "IL",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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