Provider Demographics
NPI:1568423044
Name:SALKAS, ANTHONY JOSEPH (MSW)
Entity Type:Individual
Prefix:
First Name:ANTHONY
Middle Name:JOSEPH
Last Name:SALKAS
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:TONY
Other - Middle Name:JOSEPH
Other - Last Name:SALKAS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MSW
Mailing Address - Street 1:2596 N STOKESBERRY PL
Mailing Address - Street 2:STE 100
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83646
Mailing Address - Country:US
Mailing Address - Phone:208-938-3837
Mailing Address - Fax:208-938-3857
Practice Address - Street 1:2596 N STOKESBERRY PL
Practice Address - Street 2:STE 100
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83646
Practice Address - Country:US
Practice Address - Phone:208-938-3837
Practice Address - Fax:208-938-3857
Is Sole Proprietor?:No
Enumeration Date:2006-04-01
Last Update Date:2007-11-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCSW8601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical