Individual provider Active NPI

Carol J Salo, LMSW

  • Clinical Social Worker
  • Hancock, MI
National Provider Identifier
1841321353
Registry record updated Sep 1, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
6801089915 Issued in MI
Practice address
300 Dunstan St
Hancock, MI 49930-2178
Phone
(906) 523-5580
Fax
(906) 372-3230
NPI assigned
Mar 8, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 1, 2021

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 6801089915 MI Primary

Addresses

Primary practice location

300 Dunstan St
Hancock, MI 49930-2178

Mailing address

300 Dunstan St
Hancock, MI 49930-2178

Other identifiers 1

IdentifierTypeStateIssuer
1712452MedicaidMI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
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
I20151202000782 MI Practitioner - Clinical Social Worker 1254631922 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Michigan State University College of Human Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Unite UpGroup PAC ID 2668877531, 4 clinicians

Practice addresses (Care Compare)

1014 College Ave
Houghton, MI 49931-1823
Phone (904) 861-8233

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6801089915MIMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Copper Palette & Associates Current Accepting new patients
Unite Up Clinical CurrentSince Aug 2, 2021 Accepting new patients

Locations

1014 College Ave
Houghton, MI 49931
Phone (906) 482-6800

1014 College Ave
Ofc
Houghton, MI 49931
Phone (904) 861-8233

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1173312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1841321353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 DUNSTAN ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 DUNSTAN ST",
            "city": "HANCOCK",
            "state": "MI",
            "postal_code": "499302178",
            "telephone_number": "906-523-5580",
            "fax_number": "906-372-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SALO",
        "first_name": "CAROL",
        "middle_name": "J",
        "name_prefix": "Ms.",
        "credential": "LMSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-08",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MI",
            "license": "6801089915",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1712452",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hancock, MI

Sources for this page

Verify at the official NPI Registry.