Individual provider Active NPI

Mel A. Solis, L.C.S.W.

  • Clinical Social Worker
  • Westport, CT
National Provider Identifier
1437148376
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
002238 Issued in CT
Practice address
181 Post Rd W
Westport, CT 06880-4626
Phone
(203) 557-0600
NPI assigned
Oct 13, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 002238 CT
Mental Health Counselor 101YM0800X R067134-1 NY
Clinical Social Worker 1041C0700X R0671341 NY
Clinical Social Worker 1041C0700X 002238 CT Primary

Addresses

Primary practice location

181 Post Rd W
Westport, CT 06880-4626

Mailing address

181 Post Rd W
Westport, CT 06880-4626
Phone (203) 557-0600

Other identifiers 3

IdentifierTypeStateIssuer
1437148376MedicaidCT
P375079OtherCTOXFORD
140002238CT01OtherCTANTHEM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT
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
I20091118000464 CT Practitioner - Clinical Social Worker 5890833404 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1987
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

181 Post Rd W
Westport, CT 06880-4626
Phone (203) 557-0600

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
R067134-1NYMDMental Health Counselor
R0671341NYMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Mel a. Solis Inc. Clinical CurrentSince Oct 23, 2009 Accepting new patients
Catholic Charities of Fairfield County, Inc. PastSince Sep 8, 2003 Accepting new patients

Locations

166 East Ave
Ste 101
Norwalk, CT 06851
Phone (203) 536-0553

181 Post Rd W
Westport, CT 06880
Phone (203) 231-1173

Organizations & group practices 2

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": "1129161600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1437148376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "181 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804626",
            "telephone_number": "203-557-0600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "181 POST RD W",
            "city": "WESTPORT",
            "state": "CT",
            "postal_code": "068804626",
            "telephone_number": "203-557-0600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "MEL",
        "middle_name": "A.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-10-13",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "CT",
            "license": "002238",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NY",
            "license": "R067134-1",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "R0671341",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CT",
            "license": "002238",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437148376",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OXFORD",
            "identifier": "P375079",
            "state": "CT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "140002238CT01",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Westport, CT

Sources for this page

Verify at the official NPI Registry.