Individual provider Active NPI

Traci Blake Salami, LMSW

  • Social Worker
  • New York, NY
National Provider Identifier
1164070587
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
License
107157 Issued in NY
Practice address
100 William St FL 6
New York, NY 10038-5039
Phone
(212) 417-3876
Fax
(212) 417-3890
NPI assigned
Aug 28, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 107157 NY Primary

Addresses

Primary practice location

100 William St FL 6
New York, NY 10038-5039

Mailing address

65 Belmont Ave Apt 2
Jersey City, NJ 07304-3030
Phone (917) 837-6178

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
107157NYMDSocial Worker

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1164070587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "65 BELMONT AVE APT 2",
            "city": "JERSEY CITY",
            "state": "NJ",
            "postal_code": "073043030",
            "telephone_number": "917-837-6178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 WILLIAM ST FL 6",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100385039",
            "telephone_number": "212-417-3876",
            "fax_number": "212-417-3890"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMI",
        "first_name": "TRACI",
        "middle_name": "BLAKE",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NY",
            "license": "107157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New York, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.