Provider Demographics
NPI:1730485863
Name:SALATIC-EWING, SENKA N/A (LICSW)
Entity Type:Individual
Prefix:MRS
First Name:SENKA
Middle Name:N/A
Last Name:SALATIC-EWING
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:MRS
Other - First Name:SENKA
Other - Middle Name:N/A
Other - Last Name:SALATIC-EWING
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:297 OLD WILSON RD
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01062-9719
Mailing Address - Country:US
Mailing Address - Phone:413-568-1421
Mailing Address - Fax:
Practice Address - Street 1:50 PLEASANT ST
Practice Address - Street 2:
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-4127
Practice Address - Country:US
Practice Address - Phone:413-584-6855
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-02-08
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1183481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical