Sarah Solomon, MSW,LCSW-S
Individual provider Active NPI Clinical Social Worker · Lakeside Park, KY
NPI 1306195342 · NPPES record last updated Aug 25, 2020
Key facts
- NPI
- 1306195342
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 5039 (KY)
- Practice address
- 2581 Harmony LN
Lakeside Park, KY 41017-2141 - Phone
- (513) 509-9004
- NPI assigned
- Sep 6, 2012
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3820 | KY | MD | Clinical Social Worker |
| 5039 | KY | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bluegrass Behavioral Health Group, LLC | Clinical | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 5039 | KY | Yes |
Addresses
Primary practice location
2581 Harmony LN
Lakeside Park, KY 41017-2141
Mailing address
2581 Harmony LN
Lakeside Park, KY 41017-2141
Phone (513) 509-9004
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 610661458 | Other | KY | TAX ID |
Other providers in Lakeside Park, KY
- Bethany L Outland
- Robert L Wyenandt Jr,MD PLLC
- Shawn Kathleen Ross
- Robin Lynn Scheer-Mineer
- Seating Matters of Greater Cincinnati LLC
- St. Elizabeth Physicians
- Strategic Wellness, LLC
- Transcare of Kentucky, Inc.
- Nichole Violet Tucker
- Jessica R Vaniglia
All providers in Lakeside Park, KY · Clinical Social Worker in Kentucky
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 25, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.