MEDICARE: JAMIE SALSBERG LCSW, CAP

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	SW13205	FL

General Provider Information

NPI Number	:	1679061014
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE SALSBERG LCSW, CAP

Provider Business Mailing Address
First Line	:	5851 LA GORCE CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7376
Country	:	US
Telephone Number	:	917-796-6854
Fax Number	:

Provider Business Practice Location Address
First Line	:	5851 LA GORCE CIR
Second Line	:
City	:	LAKE WORTH
State	:	FL
Zip	:	33463-7376
Country	:	US
Telephone Number	:	917-796-6854
Fax Number	:

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

Provider Enumeration Date	:	05/01/2018
Last Update Date	:	03/10/2023

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