Individual provider Active NPI

Jacqueline M. Salmon, L.C.S.W.

  • Clinical Social Worker
  • Bryn Mawr, PA
National Provider Identifier
1093876229
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CW005822L Issued in PA
Practice address
26 Summit Grove Ave
Suite 215
Bryn Mawr, PA 19010-3230
Phone
(610) 520-4407
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X CW005822L PA Primary

Addresses

Primary practice location

26 Summit Grove Ave
Suite 215
Bryn Mawr, PA 19010-3230

Mailing address

35 Violet LN
Lansdowne, PA 19050-2320
Phone (610) 622-4931

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050909000837 PA Practitioner - Clinical Social Worker 5395777338 Practice locations: Lansdowne, PA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

52 E Greenwood Ave
Lansdowne, PA 19050-2012
Phone (610) 420-1411

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CW005822LPAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Springfield Psychological PC CurrentSince Oct 1, 2001 Accepting new patients
Merakey Delaware County Past Accepting new patients

Locations

1489 Baltimore Pike
Ste 250
Springfield, PA 19064
Phone 6105442110144

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1093876229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "35 VIOLET LN",
            "city": "LANSDOWNE",
            "state": "PA",
            "postal_code": "190502320",
            "telephone_number": "610-622-4931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 SUMMIT GROVE AVE",
            "address_2": "SUITE 215",
            "city": "BRYN MAWR",
            "state": "PA",
            "postal_code": "190103230",
            "telephone_number": "610-520-4407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMON",
        "first_name": "JACQUELINE",
        "middle_name": "M.",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "PA",
            "license": "CW005822L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bryn Mawr, PA

Sources for this page

Verify at the official NPI Registry.