Individual provider Active NPI

Mayer Solomon, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1144419862
Registry record updated Apr 11, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14651 Issued in MD
Practice address
1501 Sulgrave Ave Ste 209
Baltimore, MD 21209-3650
Phone
(410) 417-7576
NPI assigned
Oct 18, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 11, 2022

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 14651 MD Primary

Addresses

Primary practice location

1501 Sulgrave Ave Ste 209
Baltimore, MD 21209-3650

Mailing address

1501 Sulgrave Ave Ste 209
Baltimore, MD 21209-3650
Phone (410) 417-7576

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.
Opted out of Medicare
Yes, effective Apr 1, 2017 through Apr 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
14651MDMDDentist

Practice roles

OrganizationSpecialtyStatusNew patients
Solomon Counseling, LLC CurrentSince Apr 17, 2022 Accepting new patients

Locations

1501 Sulgrave Ave
Ste 209
Baltimore, MD 21209
Phone (410) 417-7576

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1649635200000",
    "number": "1144419862",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093650",
            "telephone_number": "410-417-7576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1501 SULGRAVE AVE STE 209",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212093650",
            "telephone_number": "410-417-7576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "MAYER",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-10-18",
        "last_updated": "2022-04-11",
        "certification_date": "2022-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14651",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

Verify at the official NPI Registry.