National Provider Identifier
Sally Salamon, LCSW
Sally Salamon, LCSW is listed in the NPPES registry with a primary specialty of Clinical Social Worker in Ithaca, NY and a listed phone number of (607) 273-7494.
Profile Overview
- NPI
- 1518636497
- Provider Type
- Individual
- Primary Specialty
- Clinical Social Worker
- Enumeration Date
- September 13, 2021
- Last Updated
- April 16, 2025
Practice Location
- 127 W State St
- Ithaca, NY 14850-5474
Phone: (607) 273-7494
Mailing Address
- 560 Elm St
- Ithaca, NY 14850-3023
Specialties
- Clinical Social Worker (1041C0700X)
Full Record
- NPI
- 1518636497
- Entity Type
- Individual
- Last Name
- Salamon
- First Name
- Sally
- Credential
- LCSW
- Provider Other Last Name
- Heron
- Provider Other First Name
- Sally
- Provider Other Credential Text
- LMSW
- Provider Other Last Name Type Code
- 1
- Mailing Street Address
- 560 Elm St
- Mailing City
- Ithaca
- Mailing State
- NY
- Mailing ZIP Code
- 14850-3023
- Mailing Country
- US
- Practice Street Address
- 127 W State St
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-5474
- Practice Country
- US
- Practice Phone
- (607) 273-7494
- Enumeration Date
- September 13, 2021
- Last Updated
- April 16, 2025
- Sex
- Female
- Sole Proprietor
- No
- Certification Date
- April 16, 2025
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Clinical Social Worker (1041C0700X)