Individual provider Active NPI

Teresa Loraine Salyers, CSW

  • Clinical Social Worker
  • Danville, KY
National Provider Identifier
1801410733
Registry record updated Jun 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
254824 Issued in KY
Practice address
475 W Main St Ste 106
Danville, KY 40422-1844
Phone
(859) 374-0238
Fax
(859) 242-5342
NPI assigned
Jun 6, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2020

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 254824 KY Primary

Addresses

Primary practice location

475 W Main St Ste 106
Danville, KY 40422-1844

Mailing address

447 High Ridge Tower Rd
Middleburg, KY 42541-6826
Phone (606) 706-9450

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221104000969 KY Practitioner - Clinical Social Worker 1254708282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
254824KYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Danville Counseling Center LLC Clinical CurrentSince Oct 12, 2022 Accepting new patients

Locations

475 W Main St
Ste 106
Danville, KY 40422
Phone (859) 374-0238

204 S 2nd St
Danville, KY 40422
Phone (859) 236-9819

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1591401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592438400000",
    "number": "1801410733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "447 HIGH RIDGE TOWER RD",
            "city": "MIDDLEBURG",
            "state": "KY",
            "postal_code": "425416826",
            "telephone_number": "606-706-9450"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "475 W MAIN ST STE 106",
            "city": "DANVILLE",
            "state": "KY",
            "postal_code": "404221844",
            "telephone_number": "859-374-0238",
            "fax_number": "859-242-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALYERS",
        "first_name": "TERESA",
        "middle_name": "LORAINE",
        "credential": "CSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-06-06",
        "last_updated": "2020-06-18",
        "certification_date": "2020-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "KY",
            "license": "254824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, KY

Sources for this page

Verify at the official NPI Registry.