MEDICARE: BRENDA SALCEDO

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker
2	101YM0800X	Mental Health Counselor
3	1041C0700X	Clinical Social Worker	76350	CA

General Provider Information

NPI Number	:	1003258468
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BRENDA SALCEDO

Provider Business Mailing Address
First Line	:	554 CLAYTON ST UNIT 170351
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94117-6204
Country	:	US
Telephone Number	:	408-256-0523
Fax Number	:

Provider Business Practice Location Address
First Line	:	1730 DIVISADERO ST # 5
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94115-3012
Country	:	US
Telephone Number	:	408-256-0523
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/25/2013
Last Update Date	:	04/19/2026

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Directions to “ BRENDA SALCEDO ” Practice Location

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