Provider Demographics
NPI:1902135841
Name:CAROLIN-SALAZAR, SAYWARD I (LCSW)
Entity Type:Individual
Prefix:
First Name:SAYWARD
Middle Name:I
Last Name:CAROLIN-SALAZAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:927 N. PENN AVE INDIANAPOLIS, IN 46202
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46202
Mailing Address - Country:US
Mailing Address - Phone:260-205-2516
Mailing Address - Fax:317-830-5009
Practice Address - Street 1:927 N PENN ST
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46204-1020
Practice Address - Country:US
Practice Address - Phone:260-205-2516
Practice Address - Fax:317-830-5009
Is Sole Proprietor?:No
Enumeration Date:2009-12-23
Last Update Date:2023-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical