Salt River Licensed Clinical Social Work PLLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SALT RIVER LICENSED CLINICAL SOCIAL WORK PLLC

Doing business as

Salt River Therapy LCSW PLLC

Practice address

26 Court St Suite 410
Brooklyn, NY 11242

Phone

(347) 766-4949

NPI assigned

Feb 1, 2023

Organization subpart

No

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

Authorized official

Name

Teresa Thompson, LCSWNPI 1417473471

Title

Owner

Phone

(347) 766-4949

Specialties & licenses 1

Addresses

Other names 1

• Salt River Therapy LCSW PLLC Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Thompson, LCSW

  • Clinical Social Worker
  • Brooklyn, NY
  • NPI 1417473471
  NPD Authorized official

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1295431377",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 THIRD AVENUE",
            "address_2": "SUITE A #1730",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "10022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "26 COURT ST SUITE 410",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "11242",
            "telephone_number": "347-766-4949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SALT RIVER LICENSED CLINICAL SOCIAL WORK PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-25",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "347-766-4949",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Salt River Therapy LCSW PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rachel S Salomon
• Yanick Salomon
• Tracy A Salon
• Laura Salonen
• David Saloum, M.D.
• Natalie Salter
• Jason Reed Saltiel
• Karina Saltovskaya, DPT
• Ilya Saltykov
• Saltzman Pharmacy Inc

• Clinical Social Worker in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Clinical Social Worker in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.