Individual provider Active NPI

Markroel Padua Solte, LCSW 94351

  • Clinical Social Worker
  • Hacienda Heights, CA
National Provider Identifier
1265965917
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCSW94351 Issued in CA
Practice address
16332 Marvene Dr
Hacienda Heights, CA 91745-4941
Phone
(562) 298-2291
NPI assigned
Apr 10, 2017
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 LCSW94351 CA Primary

Addresses

Primary practice location

16332 Marvene Dr
Hacienda Heights, CA 91745-4941

Mailing address

16332 Marvene Dr
Hacienda Heights, CA 91745-4941
Phone (209) 915-9117

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LCSW94351CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Glenn Medical Center, LLC PastSince Jan 21, 2023 Accepting new patients

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": "1491782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1265965917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16332 MARVENE DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454941",
            "telephone_number": "209-915-9117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16332 MARVENE DR",
            "city": "HACIENDA HEIGHTS",
            "state": "CA",
            "postal_code": "917454941",
            "telephone_number": "562-298-2291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLTE",
        "first_name": "MARKROEL",
        "middle_name": "PADUA",
        "name_prefix": "Mr.",
        "credential": "LCSW 94351",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-04-10",
        "last_updated": "2022-07-21",
        "certification_date": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCSW94351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hacienda Heights, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.