Provider Demographics
NPI:1700949468
Name:SALERNO, SANDRA C (MA, MSW, LCSW)
Entity type:Individual
Prefix:MS
First Name:SANDRA
Middle Name:C
Last Name:SALERNO
Suffix:
Gender:F
Credentials:MA, MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:850 SEVENTH AVE
Mailing Address - Street 2:SUITE #503
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10019-5230
Mailing Address - Country:US
Mailing Address - Phone:212-245-1929
Mailing Address - Fax:718-264-7170
Practice Address - Street 1:850 SEVENTH AVE
Practice Address - Street 2:SUITE #503
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-5230
Practice Address - Country:US
Practice Address - Phone:212-245-1929
Practice Address - Fax:718-264-7170
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-17
Last Update Date:2014-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY069619-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical