Stephanie Marie Salas, LMSW
Social Worker, Clinical in Albuquerque, NM. Individual provider (NPI-1).
NPI number1164094488
StatusActive
Last updated in NPPESJun 9, 2025
Details
- NPI
- 1164094488
- Entity type
- Individual (NPI-1)
- Name
- Stephanie Marie Salas
- Credential
- LMSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 15, 2021
- Certification date
- Jun 9, 2025
- Last updated
- Jun 9, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | SWB-2025-0465 | NM | Yes |
| 171M00000X | Case Manager/Care Coordinator | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
707 Broadway Blvd Ne Ste 500Albuquerque, NM 87102-2367
Phone 505-627-1247
Mailing address
16 Ramada Way WSanta Fe, NM 87508-9629
Phone 505-310-0175
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