Organization Active NPI

Marilyn G Salasky LCSW, PLC

  • Clinical Social Worker
  • Virginia Beach, VA
National Provider Identifier
1316113137
Registry record updated May 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
0904000327 Issued in VA
Legal business name
MARILYN G SALASKY LCSW, PLC
Practice address
933 First Colonial Rd
Suite 201
Virginia Beach, VA 23454-3172
Phone
(757) 425-6612
Fax
(757) 422-4078
NPI assigned
May 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 1, 2008

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

Authorized official

Name
Mrs. Marilyn G Salasky, LCSW, PLC
Title
President
Phone
(757) 425-6612

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 0904000327 VA Primary

Addresses

Primary practice location

933 First Colonial Rd
Suite 201
Virginia Beach, VA 23454-3172

Mailing address

933 First Colonial Rd
Suite 201
Virginia Beach, VA 23454-3172
Phone (757) 425-6612

Other identifiers 4

IdentifierTypeStateIssuer
820667OtherVASENTARA
4268459OtherVAAETNA
800000114OtherVAMEDICARE
088035OtherVAANTHEM BLUE CROSS/BLUE SHIELD

National Provider Directory

National Provider Directory

Locations

933 First Colonial Rd
Ste 201
Virginia Beach, VA 23454
Phone (757) 422-9733

NPI Registry JSON

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

{
    "created_epoch": "1209600000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209600000000",
    "number": "1316113137",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-425-6612",
            "fax_number": "757-422-4078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "933 FIRST COLONIAL RD",
            "address_2": "SUITE 201",
            "city": "VIRGINIA BEACH",
            "state": "VA",
            "postal_code": "234543172",
            "telephone_number": "757-425-6612",
            "fax_number": "757-422-4078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARILYN G SALASKY LCSW, PLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-01",
        "last_updated": "2008-05-01",
        "status": "A",
        "authorized_official_last_name": "SALASKY",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "757-425-6612",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW, PLC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904000327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SENTARA",
            "identifier": "820667",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4268459",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "800000114",
            "state": "VA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BLUE CROSS/BLUE SHIELD",
            "identifier": "088035",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Virginia Beach, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2008; 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.