Lisa Salcedo Lcsw Pa | |
6971 N Federal Highway Ste 301 Boca Raton FL 33487-1649 | |
(561) 801-7577 | |
(561) 828-9272 |
Full Name | Lisa Salcedo Lcsw Pa |
---|---|
Speciality | Social Worker |
Location | 6971 N Federal Highway, Boca Raton, Florida |
Authorized Official Name and Position | Lisa Salcedo (OWNER) |
Authorized Official Contact | 5618017577 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Lisa Salcedo Lcsw Pa 6348 Ethan Drive Lake Worth FL 33467-8732 Ph: (561) 801-7577 | Lisa Salcedo Lcsw Pa 6971 N Federal Highway Ste 301 Boca Raton FL 33487-1649 Ph: (561) 801-7577 |
NPI Number | 1972135572 |
---|---|
Provider Enumeration Date | 02/11/2020 |
Last Update Date | 02/11/2020 |
Certification Date | 02/11/2020 |
Medicare PECOS PAC ID | 9638508179 |
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Medicare Enrollment ID | O20200403000518 |
Identifier | Type | State | Issuer |
---|---|---|---|
1972135572 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Lisa B Salcedo |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1356848840 PECOS PAC ID: 9537408232 Enrollment ID: I20190225000539 |
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