Individual provider Active NPI

Amandalynn Salzman, MS, MSW, LCSW

  • Clinical Social Worker
  • Blackwood, NJ
National Provider Identifier
1356860407
Registry record updated Feb 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
44SC05746100 Issued in NJ
Practice address
4 Pine CT
Blackwood, NJ 08012-4307
Phone
(908) 220-8008
NPI assigned
Sep 10, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 44SC05746100 NJ Primary

Addresses

Primary practice location

4 Pine CT
Blackwood, NJ 08012-4307

Mailing address

4 Pine CT
Blackwood, NJ 08012-4307
Phone (908) 220-8008

Other practice location 1

1405 Chews Landing Rd Ste 24
Laurel Springs, NJ 08021-2769
Phone (609) 802-9646

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)
Enrolled
Credentials
Master of Science

NPI Registry JSON

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

{
    "created_epoch": "1505001600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707955200000",
    "number": "1356860407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 PINE CT",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124307",
            "telephone_number": "908-220-8008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 PINE CT",
            "city": "BLACKWOOD",
            "state": "NJ",
            "postal_code": "080124307",
            "telephone_number": "908-220-8008"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1405 Chews Landing Rd Ste 24",
            "address_purpose": "LOCATION",
            "city": "Laurel Springs",
            "state": "NJ",
            "postal_code": "080212769",
            "country_code": "US",
            "telephone_number": "609-802-9646",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALZMAN",
        "first_name": "AMANDALYNN",
        "credential": "MS, MSW, LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-09-10",
        "last_updated": "2024-02-15",
        "certification_date": "2024-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NJ",
            "license": "44SC05746100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Blackwood, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2024; 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.