Individual provider Active NPI

Deena Solwren, L.C.S.W.

  • Clinical Social Worker
  • Pinole, CA
National Provider Identifier
1366554875
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
19582 Issued in CA
Practice address
2646 Appian Way
#21
Pinole, CA 94564-2242
Phone
(510) 364-2864
Fax
(510) 758-2131
NPI assigned
Aug 31, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 19582 CA Primary

Addresses

Primary practice location

2646 Appian Way
#21
Pinole, CA 94564-2242

Mailing address

2646 Appian Way
#21
Pinole, CA 94564-2242
Phone (510) 364-2864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20070406000396 CA Practitioner - Clinical Social Worker 9234233933 Practice locations: Pinole, CA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

2644 Appian Way
Suite 201
Pinole, CA 94564-2241
Phone (510) 364-2864

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1366554875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2646 APPIAN WAY",
            "address_2": "#21",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642242",
            "telephone_number": "510-364-2864",
            "fax_number": "510-758-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2646 APPIAN WAY",
            "address_2": "#21",
            "city": "PINOLE",
            "state": "CA",
            "postal_code": "945642242",
            "telephone_number": "510-364-2864",
            "fax_number": "510-758-2131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLWREN",
        "first_name": "DEENA",
        "name_prefix": "Ms.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "19582",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinole, CA

Sources for this page

Verify at the official NPI Registry.