Provider Demographics
NPI:1588900211
Name:SALERNO, ROSEMARY (LCSW)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:
Last Name:SALERNO
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 ERIE ST
Mailing Address - Street 2:1E
Mailing Address - City:OAK PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60302-2093
Mailing Address - Country:US
Mailing Address - Phone:708-848-6233
Mailing Address - Fax:
Practice Address - Street 1:818 ERIE ST
Practice Address - Street 2:1E
Practice Address - City:OAK PARK
Practice Address - State:IL
Practice Address - Zip Code:60302-2093
Practice Address - Country:US
Practice Address - Phone:708-848-6233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-28
Last Update Date:2012-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490085021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical