Aviva E Sala, LCSW
Individual provider Active NPI Clinical Social Worker · Old Bethpage, NY
NPI 1508915158 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1508915158
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- R051415 (NY)
- Practice address
- 44 Simpson Dr
Old Bethpage, NY 11804-1220 - Phone
- (516) 293-4060
- NPI assigned
- Jan 10, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| R051415 | NY | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | R051415 | NY | Yes |
Addresses
Primary practice location
44 Simpson Dr
Old Bethpage, NY 11804-1220
Mailing address
44 Simpson Dr
Old Bethpage, NY 11804-1220
Phone (516) 293-4060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 460598 | Other | NY | VALUE OPTIONS PROVIDER ID |
Other providers in Old Bethpage, NY
- Lena M Rapisarda
- Rides Unlimited of New York
- Camille Ann Roldan
- Jennifer Lynne Rottas
- Andrew Paul Rubin
- Jill Schecter
- Lisa Schrank
- Emily Rebecca Schrier
- Steven Jay Seidman
- Jane Shataka
All providers in Old Bethpage, NY · Clinical Social Worker in New York
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. 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.