Individual provider Active NPI

Jessica Solomon

  • Clinical Social Worker
  • Plano, TX
National Provider Identifier
1356093389
Registry record updated Nov 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Practice address
440 Coit Rd Apt 9106
Plano, TX 75075-5801
Phone
(201) 927-4983
NPI assigned
Jan 20, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 8, 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 Primary

Addresses

Primary practice location

440 Coit Rd Apt 9106
Plano, TX 75075-5801

Mailing address

440 Coit Rd Apt 9106
Plano, TX 75075-5801

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, MO, NY, MA, CA5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20250227001686 TX Practitioner - Clinical Social Worker 9931629417 Reassigns benefits to 1 organization
I20250714004152 MO Practitioner - Clinical Social Worker 9931629417 Reassigns benefits to 1 organization
I20250730001991 NY Practitioner - Clinical Social Worker 9931629417 Reassigns benefits to 1 organization
I20250730002246 MA Practitioner - Clinical Social Worker 9931629417 Reassigns benefits to 1 organization
I20260106003267 CA Practitioner - Clinical Social Worker 9931629417 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Talkspace Provider Network PA CurrentSince Jan 1, 2025 Accepting new patients
Talkspace Medical Services Ny PC CurrentSince May 9, 2025 Accepting new patients
Talkspace Provider Network Ca PC CurrentSince Nov 17, 2025 Accepting new patients

Locations

2578 Broadway
#607
New York, NY 10025
Phone (516) 847-5432

2578 Broadway
Ste 607
New York, NY 10025
Phone (304) 308-3735

Organizations & group practices 3

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.

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Talkspace Provider Network PA 249 clinicians

Practice addresses (Care Compare)

2753 Valencia LN
Schertz, TX 78154-3721
Phone (530) 531-5544

NPI Registry JSON

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1667865600000",
    "number": "1356093389",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 COIT RD APT 9106",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 COIT RD APT 9106",
            "city": "PLANO",
            "state": "TX",
            "postal_code": "750755801",
            "telephone_number": "201-927-4983"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "JESSICA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-11-08",
        "certification_date": "2022-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plano, TX

Sources for this page

Verify at the official NPI Registry.