Provider Demographics
NPI:1003788498
Name:SALINAS, ROBERTO PHILLIP (LMSW)
Entity type:Individual
Prefix:
First Name:ROBERTO
Middle Name:PHILLIP
Last Name:SALINAS
Suffix:
Gender:M
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15640 S 43RD WAY
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85048-8804
Mailing Address - Country:US
Mailing Address - Phone:602-285-5550
Mailing Address - Fax:
Practice Address - Street 1:3280 S COUNTRY CLUB WAY STE 110
Practice Address - Street 2:
Practice Address - City:TEMPE
Practice Address - State:AZ
Practice Address - Zip Code:85282-4065
Practice Address - Country:US
Practice Address - Phone:602-285-5550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-23
Last Update Date:2025-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLMSW-17552104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker