Active NPI
Shelby Solomon, LCSW
- Clinical Social Worker
- Austin, TX
National Provider Identifier
1477021822
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 62847
- Practice address
- 2520 Longview St Ste 315
Austin, TX 78705-4237 - Phone
- (512) 522-4895
- NPI assigned
- Nov 4, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 62847 | TX | |
| Clinical Social Worker | 1041C0700X | 62847 | TX | Primary |
Addresses
Primary practice location
2520 Longview St Ste 315
Austin, TX 78705-4237
Mailing address
2520 Longview St Ste 315
Austin, TX 78705-4237
Phone (512) 522-4895
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://shelby-solomon.clientsecure.me |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 62847 | TX | MD | Professional Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1593129600000",
"number": "1477021822",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 LONGVIEW ST STE 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787054237",
"telephone_number": "512-522-4895"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 LONGVIEW ST STE 315",
"city": "AUSTIN",
"state": "TX",
"postal_code": "787054237",
"telephone_number": "512-522-4895"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLOMON",
"first_name": "SHELBY",
"credential": "LCSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-11-04",
"last_updated": "2020-06-26",
"certification_date": "2020-06-26",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "TX",
"license": "62847",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "TX",
"license": "62847",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://shelby-solomon.clientsecure.me",
"affiliation": "N",
"address_1": "2520 Longview St Ste 315",
"city": "Austin",
"state": "TX",
"country_code": "US",
"postal_code": "787054237",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Austin, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.