Provider Demographics
NPI:1952159170
Name:SALERNO, JILL A (LMSW)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:A
Last Name:SALERNO
Suffix:
Gender:X
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12 SENECA TRL
Mailing Address - Street 2:
Mailing Address - City:WAYNE
Mailing Address - State:NJ
Mailing Address - Zip Code:07470-4426
Mailing Address - Country:US
Mailing Address - Phone:973-494-6267
Mailing Address - Fax:
Practice Address - Street 1:330 W 58TH ST STE 401
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10019-1821
Practice Address - Country:US
Practice Address - Phone:646-477-1936
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker