Active NPI
Myra M Salcedo, MSW LCSW
- Clinical Social Worker
- Richardson, TX
National Provider Identifier
1316196785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 42032
- Practice address
- 2007 N Collins Blvd
Suite 503
Richardson, TX 75080 - Phone
- (972) 690-6700
- Fax
- (972) 690-6705
- NPI assigned
- Sep 10, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 101Y00000X | 42032 | TX | |
| Clinical Social Worker | 1041C0700X | 42032 | TX | Primary |
Addresses
Primary practice location
2007 N Collins Blvd
Suite 503
Richardson, TX 75080
Mailing address
2007 N Collins Blvd
Suite 503
Richardson, TX 75080
Phone (972) 690-6700
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
| License | State | Type | Specialty |
|---|---|---|---|
| 42032 | TX | MD | Oral & Maxillofacial Surgery (D.M.D.) |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aaa Mental Health | Clinical | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Clinical Social Worker
- Richardson, TX
- NPI 1366886467
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1221004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1221004800000",
"number": "1316196785",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2007 N COLLINS BLVD",
"address_2": "SUITE 503",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-690-6700",
"fax_number": "972-690-6705"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2007 N COLLINS BLVD",
"address_2": "SUITE 503",
"city": "RICHARDSON",
"state": "TX",
"postal_code": "75080",
"telephone_number": "972-690-6700",
"fax_number": "972-690-6705"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALCEDO",
"first_name": "MYRA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "MSW LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2008-09-10",
"last_updated": "2008-09-10",
"status": "A"
},
"taxonomies": [
{
"code": "101Y00000X",
"taxonomy_group": "",
"desc": "Counselor",
"state": "TX",
"license": "42032",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "42032",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Richardson, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 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.