Individual provider Active NPI

Juanita Salgado, LCSW

  • Clinical Social Worker
  • Orlando, FL
National Provider Identifier
1518204940
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW14652 Issued in FL
Practice address
6900 S Orange Blossom TRL Ste 402
Orlando, FL 32809
Phone
(407) 894-8894
Fax
(407) 894-8893
NPI assigned
Jan 4, 2013
Last updated
Oct 15, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care Coordinator 171M00000X
Clinical Social Worker 1041C0700X SW14652 FL Primary

Addresses

Primary practice location

6900 S Orange Blossom TRL Ste 402
Orlando, FL 32809

Mailing address

13350 W Colonial Dr
Ste 340
Winter Garden, FL 34787-3977
Phone (910) 279-9525

Other practice location 1

718 Garden Plz
Orlando, FL 32803-4212
Phone (407) 894-8894

Other identifiers 1

IdentifierTypeStateIssuer
1518204940MedicaidFL

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

State licenses

LicenseStateTypeSpecialty
SW14652FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Hispanic Family Counseling Inc Clinical Past Accepting new patients
Rib of Orlando LLC Past Accepting new patients
Positive Paths LLC Clinical Past Accepting new patients
Hispanic Family Counseling Inc Clinical Past Accepting new patients

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": "1357257600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1518204940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13350 W COLONIAL DR",
            "address_2": "STE 340",
            "city": "WINTER GARDEN",
            "state": "FL",
            "postal_code": "347873977",
            "telephone_number": "910-279-9525",
            "fax_number": "407-926-0209"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6900 S ORANGE BLOSSOM TRL STE 402",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32809",
            "telephone_number": "407-894-8894",
            "fax_number": "407-894-8893"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 Garden Plz",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328034212",
            "country_code": "US",
            "telephone_number": "407-894-8894",
            "fax_number": "407-894-8893",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SALGADO",
        "first_name": "JUANITA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-01-04",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW14652",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1518204940",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.