Provider Demographics
NPI:1043360985
Name:SALGADO, ADA PATRICIA (LCSW)
Entity Type:Individual
Prefix:
First Name:ADA
Middle Name:PATRICIA
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 1:269 S BEVERLY DR # 282
Mailing Address - Street 2:
Mailing Address - City:BEVERLY HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:90212-3851
Mailing Address - Country:US
Mailing Address - Phone:310-387-3761
Mailing Address - Fax:310-694-9059
Practice Address - Street 1:433 N CAMDEN DR FL 6
Practice Address - Street 2:
Practice Address - City:BEVERLY HILLS
Practice Address - State:CA
Practice Address - Zip Code:90210-4416
Practice Address - Country:US
Practice Address - Phone:310-387-3761
Practice Address - Fax:310-694-9059
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA242151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA00007782Medicaid