Active NPI
Jessica Solomon
- Clinical Social Worker
- Plano, TX
National Provider Identifier
1356093389
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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, CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 5
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Talkspace Provider Network PA | Current | Accepting new patients | |
| Talkspace Medical Services Ny PC | Current | Accepting new patients | |
| Talkspace Provider Network Ca PC | Current | 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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1639814049
MA, MO, TX
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1790475556
NY
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- New York, NY
- NPI 1003506866
CA
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
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.