Provider Demographics
NPI:1619781366
Name:SALVATO, PAIGE (LCSW)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:
Last Name:SALVATO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:PAIGE
Other - Middle Name:
Other - Last Name:COYLE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:828 FEDERAL RD STE B
Mailing Address - Street 2:
Mailing Address - City:BROOKFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06804-1847
Mailing Address - Country:US
Mailing Address - Phone:800-611-0185
Mailing Address - Fax:800-930-5241
Practice Address - Street 1:828 FEDERAL RD STE B
Practice Address - Street 2:
Practice Address - City:BROOKFIELD
Practice Address - State:CT
Practice Address - Zip Code:06804-1847
Practice Address - Country:US
Practice Address - Phone:800-611-0185
Practice Address - Fax:800-930-5241
Is Sole Proprietor?:Yes
Enumeration Date:2025-02-04
Last Update Date:2025-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT14865104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker