Individual provider Active NPI

Michelle Salazar, LISW-S

  • Clinical Social Worker
  • Celina, OH
National Provider Identifier
1235303942
Registry record updated Aug 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
I.0007811.SUPV Issued in OH
Practice address
401 E. Market St
Celina, OH 45822-1736
Phone
(419) 584-5123
Fax
(567) 890-7214
NPI assigned
Apr 15, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 2, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X I.0007811-SUPV OH
Clinical Social Worker 1041C0700X I.0007811.SUPV OH Primary

Addresses

Primary practice location

401 E. Market St
Celina, OH 45822-1736

Mailing address

401 E. Market St
Celina, OH 45822-1736
Phone (419) 305-7214

Other identifiers 1

IdentifierTypeStateIssuer
0155813MedicaidOH

Other names 1

  • Michelle Delong Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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
I20131015000418 OH Practitioner - Clinical Social Worker 5991939563 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Momentum Counseling and Consultation, LLCGroup PAC ID 3971880121, 16 clinicians

Practice addresses (Care Compare)

112 /2 N Main St
Celina, OH 45822-1729
Phone (419) 584-5123

401 E Market St
Celina, OH 45822-1736

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
I.0007811-SUPVOHMDMental Health Counselor
I.0007811.SUPVOHMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Momentum Counseling and Consultation, LLC Clinical CurrentSince Mar 21, 2017 Accepting new patients
Michelle Salazar Coaching and Consulting, LLC Clinical CurrentSince May 28, 2023 Accepting new patients

Locations

401 E Market St
Celina, OH 45822
Phone (419) 305-7214

112 N Main St
Celina, OH 45822
Phone (419) 584-5123

441 E Market St
Celina, OH 45822
Phone (419) 584-5123

500 E Court St
Sidney, OH 45365
Phone (937) 492-6970

1385 Stonycreek Rd
Ste Ab
Troy, OH 45373

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": "1208217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722556800000",
    "number": "1235303942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 E. MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221736",
            "telephone_number": "419-305-7214",
            "fax_number": "567-890-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E. MARKET ST",
            "city": "CELINA",
            "state": "OH",
            "postal_code": "458221736",
            "telephone_number": "419-584-5123",
            "fax_number": "567-890-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAZAR",
        "first_name": "MICHELLE",
        "credential": "LISW-S",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-04-15",
        "last_updated": "2024-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "OH",
            "license": "I.0007811-SUPV",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OH",
            "license": "I.0007811.SUPV",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0155813",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICHELLE",
            "last_name": "DELONG",
            "credential": "LISW-S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Celina, OH

Sources for this page

Verify at the official NPI Registry.