Individual provider Active NPI

Eleanor Frances Salemi, LCSW

  • Clinical Social Worker
  • Largo, FL
National Provider Identifier
1619208170
Registry record updated May 21, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
SW9620 Issued in FL
Practice address
801 W Bay Dr
Suite 422
Largo, FL 33770-3269
Phone
(727) 418-0735
Fax
(866) 706-0538
NPI assigned
Jan 22, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 21, 2013

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 SW9620 FL Primary

Addresses

Primary practice location

801 W Bay Dr
Suite 422
Largo, FL 33770-3269

Mailing address

1425 Hill Dr
Largo, FL 33770-4605
Phone (727) 418-0735

Other identifiers 1

IdentifierTypeStateIssuer
12073150OtherFLCAQH

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

NPI Registry JSON

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

{
    "created_epoch": "1264118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1369094400000",
    "number": "1619208170",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1425 HILL DR",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337704605",
            "telephone_number": "727-418-0735",
            "fax_number": "866-706-0538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 W BAY DR",
            "address_2": "SUITE 422",
            "city": "LARGO",
            "state": "FL",
            "postal_code": "337703269",
            "telephone_number": "727-418-0735",
            "fax_number": "866-706-0538"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALEMI",
        "first_name": "ELEANOR",
        "middle_name": "FRANCES",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-01-22",
        "last_updated": "2013-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW9620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12073150",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Largo, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2013; 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.