Individual provider Active NPI

Leslie Mandelstamm Solomon, MSW

  • Clinical Social Worker
  • Silver Spring, MD
National Provider Identifier
1114053105
Registry record updated Aug 11, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
07604 Issued in MD
Practice address
13975 Connecticut Ave Ste 207
Silver Spring, MD 20906-2921
Phone
(301) 424-1987
Fax
(301) 424-2644
NPI assigned
Feb 26, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 11, 2011

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 07604 MD Primary

Addresses

Primary practice location

13975 Connecticut Ave Ste 207
Silver Spring, MD 20906-2921

Mailing address

9 Hearthstone CT
Rockville, MD 20854-2644
Phone (301) 424-1987

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in DC
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
I20110620000102 DC Practitioner - Clinical Social Worker 2961680046 Practice locations: Silver Spring, MD

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)

13975 Connecticut Ave
Suite 207
Silver Spring, MD 20906-2921
Phone (301) 424-1987

9 Hearthstone Court
Rockville, MD 20854-2644

9 Hearthstone CT
Rockville, MD 20854-2644

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
07604MDMDSpeech-Language Pathologist

NPI Registry JSON

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

{
    "created_epoch": "1172448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1313020800000",
    "number": "1114053105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 HEARTHSTONE CT",
            "city": "ROCKVILLE",
            "state": "MD",
            "postal_code": "208542644",
            "telephone_number": "301-424-1987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13975 CONNECTICUT AVE STE 207",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209062921",
            "telephone_number": "301-424-1987",
            "fax_number": "301-424-2644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "LESLIE",
        "middle_name": "MANDELSTAMM",
        "name_prefix": "Mrs.",
        "credential": "MSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-02-26",
        "last_updated": "2011-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Silver Spring, MD

Sources for this page

Verify at the official NPI Registry.