Provider Demographics
NPI:1770627218
Name:UMANA, SALVATORE FRANCIS (MSW,LCSW)
Entity Type:Individual
Prefix:MR
First Name:SALVATORE
Middle Name:FRANCIS
Last Name:UMANA
Suffix:
Gender:M
Credentials:MSW,LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:211 WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:FREEPORT
Mailing Address - State:NY
Mailing Address - Zip Code:11520-4121
Mailing Address - Country:US
Mailing Address - Phone:516-868-2512
Mailing Address - Fax:516-812-9563
Practice Address - Street 1:211 WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:FREEPORT
Practice Address - State:NY
Practice Address - Zip Code:11520-4121
Practice Address - Country:US
Practice Address - Phone:516-868-2512
Practice Address - Fax:516-812-9563
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYLCSWPRO21884-1101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYNO7262Medicare ID - Type UnspecifiedLCSW CLINICAL SOCIAL WORK