Mara Salis, LICSW
Individual provider Active NPI Clinical Social Worker · Hanscom Afb, MA
NPI 1497837843 · NPPES record last updated Sep 5, 2018
Key facts
- NPI
- 1497837843
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 111828 (MA)
- Practice address
- 2 Eglin St
Hanscom Afb, MA 01731 - Phone
- (781) 274-6178
- NPI assigned
- Oct 19, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111828 | MA | MD | Clinical Social Worker |
| 004599 | CT | MD | Acute Care Nurse Practitioner |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111828 | MA | Yes |
Addresses
Primary practice location
2 Eglin St
Hanscom Afb, MA 01731
Mailing address
8 Carlson Cir
Natick, MA 01760-4205
Phone (781) 439-1123
Other providers in Hanscom Afb, MA
- Stacey Peters
- Thuc Tran Van Pham
- Daniel E Reiser
- Michael Alan Ripley
- Paul R. Rivest
- Amber Schildwachter
- Edith Luz Skelly
- St. Elizabeth'S Healthcare at Hanscom Air Base
- Steward St Elizabeths Medical Center of Boston Inc
- Stela Sheila Striligas
All providers in Hanscom Afb, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.