| Lisa Salcedo Lcsw Pa | |
|
8198 Jog Road Ste 105 Boynton Beach FL 33472-2900 | |
| (561) 801-7577 | |
| (866) 757-5778 |
| Full Name | Lisa Salcedo Lcsw Pa |
|---|---|
| Speciality | Social Worker |
| Location | 8198 Jog Road, Boynton Beach, Florida |
| Authorized Official Name and Position | Lisa Salcedo (OWNER/MBR) |
| Authorized Official Contact | 5618017577 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lisa Salcedo Lcsw Pa 6348 Ethan Drive Lake Worth FL 33467-8732 Ph: (561) 801-7577 | Lisa Salcedo Lcsw Pa 8198 Jog Road Ste 105 Boynton Beach FL 33472-2900 Ph: (561) 801-7577 |
| NPI Number | 1972135572 |
|---|---|
| Provider Enumeration Date | 02/11/2020 |
| Last Update Date | 10/20/2025 |
| Certification Date | 10/20/2025 |
| Medicare PECOS PAC ID | 9638508179 |
|---|---|
| Medicare Enrollment ID | O20200403000518 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972135572 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lisa B Salcedo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1356848840 PECOS PAC ID: 9537408232 Enrollment ID: I20190225000539 |
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