Provider Demographics
NPI:1770509960
Name:SALOIS, MICHELLE M (LCSW)
Entity Type:Individual
Prefix:MS
First Name:MICHELLE
Middle Name:M
Last Name:SALOIS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
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Mailing Address - Street 1:2609 ABBOTT PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63143-2609
Mailing Address - Country:US
Mailing Address - Phone:314-993-8818
Mailing Address - Fax:314-983-0331
Practice Address - Street 1:1015 S COMPTON AVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63104-1209
Practice Address - Country:US
Practice Address - Phone:314-993-8818
Practice Address - Fax:314-983-0331
Is Sole Proprietor?:No
Enumeration Date:2006-07-14
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
IL140-0103521041C0700X
MO0021171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000604312SALOtherMERCY COMMUNITY CARE PLUS
MO155294OtherBLUE CROSS/BLUE SHIELD
MO155294OtherBLUE CROSS/ BLUE SHIELD
MONNO-07-9690OtherUNITED BEHAVIORAL HEALTH
MOSALO3613OtherCAQH
MO112540OtherGENERAL AMERICAN
MO000604312SALOtherMERCY CARPENTERS
MO62-80365OtherPHP OF GREATER ST. LOUIS
MO6280365OtherUBH CLAIMS
MO10382OtherVMC BEHAVIORAL
MOA4004610OtherVALUE BEHAVIORAL HEALTH
MOA4004610OtherVALUE BEHAVIORAL HEALTH R
MOIP301305OtherMAGELLAN
MO000604312SALOtherMERCY HEALTH PLANS