Provider Demographics
NPI:1780941237
Name:SALAZAR, ALICIA R (LCSW)
Entity type:Individual
Prefix:MRS
First Name:ALICIA
Middle Name:R
Last Name:SALAZAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MRS
Other - First Name:ALICIA
Other - Middle Name:RODRIGUEZ
Other - Last Name:SALAZAR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3520 RIO LOBO LN
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93313-4239
Mailing Address - Country:US
Mailing Address - Phone:818-388-4903
Mailing Address - Fax:
Practice Address - Street 1:3535 UNION AVE
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93305-2937
Practice Address - Country:US
Practice Address - Phone:661-800-8533
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-04-20
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW860321041C0700X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program