Individual provider Active NPI

Kelly Salerno, LISW-S, LICDC

  • Clinical Social Worker
  • Harrod, OH
National Provider Identifier
1386147635
Registry record updated Jul 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
9105 Harding Hwy RM K129
Harrod, OH 45850-9485
Phone
(419) 224-4250
Fax
(419) 225-8878
NPI assigned
Mar 13, 2018
Last updated
Jul 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 30, 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 Primary

Addresses

Primary practice location

9105 Harding Hwy RM K129
Harrod, OH 45850-9485

Mailing address

329 N West St
Lima, OH 45801-4332
Phone (419) 221-3072

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
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

Enrollment IDStateProvider typePAC IDDetails
I20210405002391 OH Practitioner - Clinical Social Worker 8123435351 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Health Partners of Western Ohio CurrentSince Aug 1, 2024 Accepting new patients
Health Partners of Western Ohio CurrentSince Aug 1, 2024 Accepting new patients
Health Partners of Western Ohio Current Accepting new patients
Coleman Professional Services, Inc. Social Worker CurrentSince Jan 7, 2021 Accepting new patients

Locations

9105 Harding Hwy
Rm K129
Harrod, OH 45850
Phone (419) 224-4250

5982 Rhodes Rd
Kent, OH 44240
Phone (330) 676-6875

1 Spartan Way
Lima, OH 45801
Phone (419) 222-3546

2770 E Breese Rd
Lima, OH 45806
Phone (419) 221-2770

329 N West St
Lima, OH 45801
Phone (419) 229-6007

799 S Main St
Lima, OH 45804
Phone (419) 229-2222

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1520899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722297600000",
    "number": "1386147635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "329 N WEST ST",
            "city": "LIMA",
            "state": "OH",
            "postal_code": "458014332",
            "telephone_number": "419-221-3072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9105 HARDING HWY RM K129",
            "city": "HARROD",
            "state": "OH",
            "postal_code": "458509485",
            "telephone_number": "419-224-4250",
            "fax_number": "419-225-8878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALERNO",
        "first_name": "KELLY",
        "name_prefix": "Ms.",
        "credential": "LISW-S, LICDC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-13",
        "last_updated": "2024-07-30",
        "certification_date": "2024-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrod, OH

Sources for this page

Verify at the official NPI Registry.