Provider Demographics
NPI:1174832273
Name:SALGADO, CHRISTINA MIRIAM (LCSW)
Entity type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:MIRIAM
Last Name:SALGADO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:93 PECAN COURSE CIRCLE
Mailing Address - Street 2:
Mailing Address - City:OCALA
Mailing Address - State:FL
Mailing Address - Zip Code:34472
Mailing Address - Country:US
Mailing Address - Phone:651-280-2000
Mailing Address - Fax:651-280-3995
Practice Address - Street 1:93 PECAN COURSE CIRCLE
Practice Address - Street 2:
Practice Address - City:OCALA
Practice Address - State:FL
Practice Address - Zip Code:34472
Practice Address - Country:US
Practice Address - Phone:651-280-2000
Practice Address - Fax:651-280-3995
Is Sole Proprietor?:No
Enumeration Date:2010-10-07
Last Update Date:2015-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN199811041C0700X
FLSW131101041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical