Provider Demographics
NPI:1679061014
Name:SALSBERG, JAMIE (LCSW, CAP)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:
Last Name:SALSBERG
Suffix:
Gender:F
Credentials:LCSW, CAP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5851 LA GORCE CIR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-7376
Mailing Address - Country:US
Mailing Address - Phone:917-796-6854
Mailing Address - Fax:
Practice Address - Street 1:5851 LA GORCE CIR
Practice Address - Street 2:
Practice Address - City:LAKE WORTH
Practice Address - State:FL
Practice Address - Zip Code:33463-7376
Practice Address - Country:US
Practice Address - Phone:917-796-6854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-01
Last Update Date:2023-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW132051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical