Provider Demographics
NPI:1780176446
Name:SALINAS, KELLY R (MSW, CSSW)
Entity type:Individual
Prefix:
First Name:KELLY
Middle Name:R
Last Name:SALINAS
Suffix:
Gender:F
Credentials:MSW, CSSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9194 GRACE MANOR CT
Mailing Address - Street 2:
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23116-5172
Mailing Address - Country:US
Mailing Address - Phone:804-337-3248
Mailing Address - Fax:
Practice Address - Street 1:119 W LEIGH ST
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23220-3210
Practice Address - Country:US
Practice Address - Phone:804-780-7850
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-30
Last Update Date:2018-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool