Provider Demographics
NPI:1447271150
Name:SAALI, VICTORIA L (BSSW MSW, LCSW)
Entity type:Individual
Prefix:MRS
First Name:VICTORIA
Middle Name:L
Last Name:SAALI
Suffix:
Gender:F
Credentials:BSSW MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3030 N. SARANAC
Mailing Address - Street 2:
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85207-6606
Mailing Address - Country:US
Mailing Address - Phone:314-662-7233
Mailing Address - Fax:314-361-6649
Practice Address - Street 1:3030 N. SARANAC
Practice Address - Street 2:
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85207-6606
Practice Address - Country:US
Practice Address - Phone:314-662-7233
Practice Address - Fax:314-361-6649
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-21
Last Update Date:2016-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20040033911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO000082336Medicare ID - Type Unspecified