MEDICARE: KALIM SALIM

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	136254	CA
2	171M00000X	Case Manager/Care Coordinator
3	172V00000X	Community Health Worker
4	225400000X	Rehabilitation Practitioner

General Provider Information

NPI Number	:	1154195410
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KALIM SALIM

Provider Business Mailing Address
First Line	:	811 GRAND AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3466
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 GRAND AVE
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95838-3466
Country	:	US
Telephone Number	:	916-922-9868
Fax Number	:

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

Provider Enumeration Date	:	11/08/2023
Last Update Date	:	01/07/2026

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Directions to “ KALIM SALIM ” Practice Location

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