Individual provider Active NPI

Kayla Solomon, LICSW

  • Clinical Social Worker
  • Northampton, MA
National Provider Identifier
1043307044
Registry record updated Jan 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1027717 Issued in MA
Practice address
1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-3545
Phone
(413) 584-7722
Fax
(888) 411-8532
NPI assigned
Oct 10, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1027717 MA Primary

Addresses

Primary practice location

1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-3545

Mailing address

1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-3545
Phone (413) 584-7722

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040601000853 MA Practitioner - Clinical Social Worker 7416939814 Practice locations: Northampton, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1 Roundhouse PLZ
Suite 203
Northampton, MA 01060-4430
Phone (413) 530-4464

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325635200000",
    "number": "1043307044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 ROUNDHOUSE PLZ",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603545",
            "telephone_number": "413-584-7722",
            "fax_number": "888-411-8532"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 ROUNDHOUSE PLZ",
            "address_2": "SUITE 203",
            "city": "NORTHAMPTON",
            "state": "MA",
            "postal_code": "010603545",
            "telephone_number": "413-584-7722",
            "fax_number": "888-411-8532"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "KAYLA",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2012-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1027717",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Northampton, MA

Sources for this page

Verify at the official NPI Registry.