Provider Demographics
NPI:1992232706
Name:SALACH, VIRGINIA K (LCSW)
Entity type:Individual
Prefix:
First Name:VIRGINIA
Middle Name:K
Last Name:SALACH
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:GINNY
Other - Middle Name:
Other - Last Name:SALACH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:6600 S YALE AVE STE 1400
Mailing Address - Street 2:
Mailing Address - City:TULSA
Mailing Address - State:OK
Mailing Address - Zip Code:74136-3331
Mailing Address - Country:US
Mailing Address - Phone:888-247-0125
Mailing Address - Fax:918-502-8210
Practice Address - Street 1:6465 S YALE AVE STE 704
Practice Address - Street 2:
Practice Address - City:TULSA
Practice Address - State:OK
Practice Address - Zip Code:74136-7822
Practice Address - Country:US
Practice Address - Phone:918-502-4250
Practice Address - Fax:918-502-4255
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2024-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK26021041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical