Doctor Name: | LISALINDA SALAS NATIVIDAD |
NPI Number: | 1689872129 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW |
License Number: | LCSW-3166 |
Business Practice Address: | 222 E Chalan Santo Papa Ste 102 Reflection Center Hagatna, GU - 969105172 |
Business Phone Number: | 6714775715 |
Business Fax Number: | 6714775714 |
Mailing Address: | Po Box 22945, Guam Main Facility BARRIGADA |
State: | GU |
Postal Code: | 969212945 |
Phone Number: | 6714775715 |
Fax Number: | |
NPI Enumeration Date: | 07/05/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LCSW-3166 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | HI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |