Active NPI
Amelia Grace Salisbury
- Social Worker
- Philadelphia, PA
National Provider Identifier
1811771124
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- SW140497
- Practice address
- 1348 Bainbridge St
Philadelphia, PA 19147-1810 - Phone
- (215) 563-0652
- NPI assigned
- Aug 21, 2023
- Last updated
- Aug 21, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | SW140497 | PA | Primary |
Addresses
Primary practice location
1348 Bainbridge St
Philadelphia, PA 19147-1810
Mailing address
2020 Morris St
Philadelphia, PA 19145-2009
Phone (443) 988-3216
Other names 1
- Miles Salisbury
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mazzoni Center | Social Worker | Current | Accepting new patients |
| Jefferson University Physicians | Past | Accepting new patients |
Locations
1348 Bainbridge St
Philadelphia, PA 19147
Phone (215) 563-0652
Interoperability endpoints
- miles.salisbury.1@2819.direct.athenahealth.com
Organizations & group practices 2
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.
-
dba Jefferson GI
- Gastroenterology Physician
- Phila, PA
- NPI 1205898723
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1692576000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692576000000",
"number": "1811771124",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2020 MORRIS ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191452009",
"telephone_number": "443-988-3216"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1348 BAINBRIDGE ST",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191471810",
"telephone_number": "215-563-0652"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SALISBURY",
"first_name": "AMELIA",
"middle_name": "GRACE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-08-21",
"last_updated": "2023-08-21",
"certification_date": "2023-08-20",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "PA",
"license": "SW140497",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MILES",
"last_name": "SALISBURY",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Philadelphia, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 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.