Provider Demographics
NPI:1831300680
Name:SALERIAN, GREGORY HAIG (MSW, LGSW)
Entity Type:Individual
Prefix:MR
First Name:GREGORY
Middle Name:HAIG
Last Name:SALERIAN
Suffix:
Gender:M
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7100 SAINT CHARLES AVE
Mailing Address - Street 2:
Mailing Address - City:NEW ORLEANS
Mailing Address - State:LA
Mailing Address - Zip Code:70118-3542
Mailing Address - Country:US
Mailing Address - Phone:281-928-7624
Mailing Address - Fax:
Practice Address - Street 1:7100 SAINT CHARLES AVE
Practice Address - Street 2:
Practice Address - City:NEW ORLEANS
Practice Address - State:LA
Practice Address - Zip Code:70118-3542
Practice Address - Country:US
Practice Address - Phone:202-244-9000
Practice Address - Fax:202-244-6610
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2021-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG500783651041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
DC204830915OtherFEDERAL TAX ID