Douglas Phillip Salada, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW-24829 Issued in ID

Practice address

317 W 6TH St Ste 208
Moscow, ID 83843-2387

Phone

(208) 882-3504

Fax

(877) 935-2107

NPI assigned

Mar 13, 2012

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in ID

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, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Scott Community Care, PLLCGroup PAC ID 2567701618, 7 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.

• Scott Community Care, PLLC

  • Professional Counselor
  • Moscow, ID
  • NPI 1356644769
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1331596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1386919124",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 N MOORE ST",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838433254",
            "telephone_number": "208-882-3504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "317 W 6TH ST STE 208",
            "city": "MOSCOW",
            "state": "ID",
            "postal_code": "838432387",
            "telephone_number": "208-882-3504",
            "fax_number": "877-935-2107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALADA",
        "first_name": "DOUGLAS",
        "middle_name": "PHILLIP",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-03-13",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW-24829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Valerie Russo, LPC
• Glenn David Rych, MD
• Paul Louis Saban, PHARMD
• Safeway Inc
• Sarita Said-Said, M.D.
• Belinda Joan Sanchez
• Issac Bishop Sanchez, BS
• John R Sandell, D.C.
• Jesus Sandoval
• Asa Santiago, FNTP

• Clinical Social Worker in Moscow, ID
• Providers in Moscow, ID by specialty
• Clinical Social Worker in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.