Provider Demographics
NPI:1972691798
Name:SALWEN, CARYN (OT)
Entity type:Individual
Prefix:
First Name:CARYN
Middle Name:
Last Name:SALWEN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:80 DENSLOW RD
Mailing Address - Street 2:
Mailing Address - City:EAST LONGMEADOW
Mailing Address - State:MA
Mailing Address - Zip Code:01028-3103
Mailing Address - Country:US
Mailing Address - Phone:413-526-9969
Mailing Address - Fax:413-526-9960
Practice Address - Street 1:80 DENSLOW RD
Practice Address - Street 2:
Practice Address - City:EAST LONGMEADOW
Practice Address - State:MA
Practice Address - Zip Code:01028-3103
Practice Address - Country:US
Practice Address - Phone:413-526-9969
Practice Address - Fax:413-526-9960
Is Sole Proprietor?:No
Enumeration Date:2006-10-10
Last Update Date:2009-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6803225X00000X
225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA6187191OtherCIGNA INDIVIDUAL NO.
MA690675OtherTUFTS GROUP
MA000000035323OtherBOSTON MEDICAL HEALTH NET INDIVIDUAL NO.
MA000000035264OtherBOSTON MEDICAL HEALTH NET GROUP NO.
MA043527497OtherUNICARE/GIC
MA043527497OtherNORTH REGIONS/TRICARE
MA494429OtherTUFTS INDIVIDUAL NO
MA043527497OtherAETNA GROUP
MA043527497OtherGREATWEST
MA043527497OtherPIONEER
MA043527497OtherUNITED HEALTH CARE
MA0799947Medicaid
130006803MA01OtherANTHEM BC BS
MA7346751OtherAETNA INDIVIDUAL NO.
MA9715568Medicaid
MA043527OtherCONNECTICARE
MA11535147OtherCAQH
MA103355100OtherDEPT OF LABOR
130006803MA02OtherANTHEM BC BS
MA043527497OtherCIGNA GROUP
MA043527497OtherCONSOLIDATED
MA0799947OtherNETWORK HEALTH GROUP
MA28117OtherHEALTH NEW ENGLAND
P00404365OtherPALMETTO RR MEDICARE
MA103355100OtherDEPT OF LABOR
MAPT0191Medicare ID - Type UnspecifiedGROUP PROVIDER NUMBER
MA28117OtherHEALTH NEW ENGLAND
MA4510980002Medicare NSC