Individual provider Active NPI

Merry Salamida, MSW, LCSW

  • Clinical Social Worker
  • Wheaton, IL
National Provider Identifier
1770131716
Registry record updated Feb 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
149024301 Issued in IL
Practice address
20 Danada SQ W # 219
Wheaton, IL 60189-2000
Phone
(630) 923-5062
NPI assigned
Sep 3, 2019
Last updated
Feb 17, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 2023

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 149024301 IL Primary

Addresses

Primary practice location

20 Danada SQ W # 219
Wheaton, IL 60189-2000

Mailing address

20 Danada SQ W # 219
Wheaton, IL 60189-2000
Phone (630) 923-5062

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
149024301ILMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Haven Counseling Center PLLC Clinical Current Accepting new patients

Locations

20 Danada Sq W
Wheaton, IL 60189
Phone (312) 857-5262

Organizations & group practices 1

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": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1676592000000",
    "number": "1770131716",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 DANADA SQ W # 219",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892000",
            "telephone_number": "630-923-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 DANADA SQ W # 219",
            "city": "WHEATON",
            "state": "IL",
            "postal_code": "601892000",
            "telephone_number": "630-923-5062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALAMIDA",
        "first_name": "MERRY",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-02-17",
        "certification_date": "2021-08-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IL",
            "license": "149024301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wheaton, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2023; 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.