Organization Active NPI

Nancy F Solomon, LCSW, P.C.

  • Clinical Social Worker
  • Setauket, NY
National Provider Identifier
1043647068
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NANCY F SOLOMON, LCSW, P.C.
Practice address
47 Route 25a
Setauket, NY 11733-2881
Phone
(631) 941-0400
Fax
(631) 941-0401
NPI assigned
Oct 4, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Nancy F. Solomon, LCSWNPI 1912274358
Title
President
Phone
(631) 941-0400

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

47 Route 25a
Setauket, NY 11733-2881

Mailing address

PO Box 2521
Setauket, NY 11733-0756
Phone (631) 941-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160616000589 NY Part B Supplier - Clinic/Group Practice 8820389109 Receives reassigned benefits from 1 practitioner
Practice locations: Setauket, NY

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1380844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1043647068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2521",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117330756",
            "telephone_number": "631-941-0400",
            "fax_number": "631-941-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROUTE 25A",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332881",
            "telephone_number": "631-941-0400",
            "fax_number": "631-941-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NANCY F SOLOMON, LCSW, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-04",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "NANCY",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "631-941-0400",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.