Provider Demographics
NPI:1194452102
Name:SALAS, ARIZZA DENICE (LSW)
Entity type:Individual
Prefix:
First Name:ARIZZA
Middle Name:DENICE
Last Name:SALAS
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9550 RAINSFORD DR
Mailing Address - Street 2:
Mailing Address - City:HUNTLEY
Mailing Address - State:IL
Mailing Address - Zip Code:60142-2473
Mailing Address - Country:US
Mailing Address - Phone:630-797-0341
Mailing Address - Fax:
Practice Address - Street 1:1345 WILEY RD
Practice Address - Street 2:
Practice Address - City:SCHAUMBURG
Practice Address - State:IL
Practice Address - Zip Code:60173-4381
Practice Address - Country:US
Practice Address - Phone:630-797-0341
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-08-01
Last Update Date:2022-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL150.105519104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker