Carlo Gerard Salgado-Russo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

44SC05861300 Issued in NJ

Practice address

777 Bloomfield Ave
Clifton, NJ 07012-1242

Phone

(973) 594-0125

NPI assigned

Oct 2, 2013

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NJ

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

Specialty

Clinical Social Worker

Education

Other, 2015

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Serv Centers of New Jersey, IncGroup PAC ID 8820983117, 10 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Serv Centers of New Jersey, Inc

  dba Clifton Family Outpatient Clinic

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clifton, NJ
  • NPI 1356454615
  Medicare reassignment Care Compare group NPD
• Mindful Therapeutic Solutions LLC

  • Community/Behavioral Health Agency
  • Montclair, NJ
  • NPI 1306428800
  NPD Authorized official
• Serv Centers of New Jersey, Inc

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Clifton, NJ
  • NPI 1700549680
  NPD

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559606400000",
    "number": "1346677564",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HARVARD STREET",
            "city": "MONTCLAIR",
            "state": "NJ",
            "postal_code": "07042",
            "telephone_number": "973-655-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "777 BLOOMFIELD AVE",
            "city": "CLIFTON",
            "state": "NJ",
            "postal_code": "070121242",
            "telephone_number": "973-594-0125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALGADO-RUSSO",
        "first_name": "CARLO",
        "middle_name": "GERARD",
        "name_prefix": "Mr.",
        "credential": "LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-02",
        "last_updated": "2019-06-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06116200",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05861300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jitendra Dhirajlal Sakhiya
• Samina Salahuddin
• Salam Clinical LLC
• Omar Salas, MA LCADC LAC CTTS
• Saleh I Khaddash MD PA
• Emine Salif, NP-C
• Raja Salloum
• Salman Okour MD PC
• Tarek Salman, TRX
• Same Day Procedures, LLC

• Clinical Social Worker in Clifton, NJ
• Providers in Clifton, NJ by specialty
• Clinical Social Worker in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.