Solomon'S Promise

Primary specialty

Social WorkerTaxonomy code 104100000X

License

0904001968 Issued in VA

Legal business name

SOLOMON'S PROMISE

Practice address

401 S Hicks St
Lawrenceville, VA 23868-2115

Phone

(434) 774-6191

NPI assigned

Dec 14, 2015

Organization subpart

No

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

Authorized official

Name

Elaine Cole, LCSW

Title

Licensed Social Worker

Phone

(434) 774-6191

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1450051200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450051200000",
    "number": "1184099301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 S HICKS ST",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238682115",
            "telephone_number": "434-774-6191"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 S HICKS ST",
            "city": "LAWRENCEVILLE",
            "state": "VA",
            "postal_code": "238682115",
            "telephone_number": "434-774-6191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOLOMON'S PROMISE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-14",
        "last_updated": "2015-12-14",
        "status": "A",
        "authorized_official_last_name": "COLE",
        "authorized_official_first_name": "ELAINE",
        "authorized_official_title_or_position": "LICENSED SOCIAL WORKER",
        "authorized_official_telephone_number": "434-774-6191",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker",
            "state": "VA",
            "license": "0904001968",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1 NPI",
            "identifier": "1578526083",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Social Worker in Lawrenceville, VA
• Providers in Lawrenceville, VA by specialty
• Social Worker in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 14, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.