Provider Demographics
NPI:1609421411
Name:SALGADO DOS SANTOS, DANIELA OLIVIA (LCSW)
Entity Type:Individual
Prefix:
First Name:DANIELA
Middle Name:OLIVIA
Last Name:SALGADO DOS SANTOS
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 1:1409 ASHEVILLE HWY
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-9524
Mailing Address - Country:US
Mailing Address - Phone:284-358-4008
Mailing Address - Fax:828-435-8401
Practice Address - Street 1:1409 ASHEVILLE HWY
Practice Address - Street 2:
Practice Address - City:BREVARD
Practice Address - State:NC
Practice Address - Zip Code:28712-9524
Practice Address - Country:US
Practice Address - Phone:828-435-8400
Practice Address - Fax:828-435-8401
Is Sole Proprietor?:No
Enumeration Date:2019-08-08
Last Update Date:2024-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0148261041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCC014826OtherLICENSE NUMBER