Individual provider Active NPI

Eileen Salmanson, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1386772358
Registry record updated Jul 12, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1022485 Issued in MA
Practice address
770 Boylston St Apt 18J
Boston, MA 02199-7716
Phone
(617) 759-2145
Fax
(508) 832-2111
NPI assigned
Mar 1, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 12, 2012

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 1022485 MA Primary

Addresses

Primary practice location

770 Boylston St Apt 18J
Boston, MA 02199-7716

Mailing address

770 Boylston St Apt 18J
Boston, MA 02199-7716
Phone (617) 759-2145

Other identifiers 2

IdentifierTypeStateIssuer
P06612OtherMABLUE SHIELD OF MA
516490613OtherMAUNITED BEHAVIORAL HEALTH

Other names 1

  • Ms. Eileen Salmanson Price Former name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Michelle Channing PA CurrentSince Dec 11, 2017 Accepting new patients

Locations

2741 Executive Park Dr
Ste 1
Weston, FL 33331
Phone (954) 385-6750

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.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342051200000",
    "number": "1386772358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "770 BOYLSTON ST APT 18J",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997716",
            "telephone_number": "617-759-2145",
            "fax_number": "508-832-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "770 BOYLSTON ST APT 18J",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021997716",
            "telephone_number": "617-759-2145",
            "fax_number": "508-832-2111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALMANSON",
        "first_name": "EILEEN",
        "name_prefix": "Ms.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1022485",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD OF MA",
            "identifier": "P06612",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED BEHAVIORAL HEALTH",
            "identifier": "516490613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EILEEN",
            "last_name": "PRICE",
            "middle_name": "SALMANSON",
            "prefix": "MS.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2012; 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.