Active NPI
Jacqueline M. Salmon, L.C.S.W.
- Clinical Social Worker
- Bryn Mawr, PA
National Provider Identifier
1093876229
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CW005822L
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| CW005822L | PA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Springfield Psychological PC | Current | 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.
-
- Mental Health Counselor
- Springfield, PA
- NPI 1295705317
-
- Community/Behavioral Health Agency
- Broomall, PA
- NPI 1366779746
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.