Individual provider Active NPI

Susan Joan Solomon, MSW, LCSW

  • Mental Health Counselor
  • Madison, WI
National Provider Identifier
1508143157
Registry record updated Nov 10, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
3209-123 Issued in WI
Practice address
30 S Franklin St
Madison, WI 53703-2907
Phone
(608) 256-2358
Fax
(608) 256-2350
NPI assigned
Nov 10, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 3209-123 WI Primary

Addresses

Primary practice location

30 S Franklin St
Madison, WI 53703-2907

Mailing address

30 S Franklin St
Madison, WI 53703-2907
Phone (608) 256-2358

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
3209-123WIMDMental Health Counselor
3209WIMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Catholic Charities Inc., Diocese of Madison Mental Health Past Accepting new patients
Catholic Charities Inc Diocese of Madison PastSince Jul 25, 2019 Accepting new patients

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": "1320883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320883200000",
    "number": "1508143157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "30 S FRANKLIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032907",
            "telephone_number": "608-256-2358",
            "fax_number": "608-256-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "30 S FRANKLIN ST",
            "city": "MADISON",
            "state": "WI",
            "postal_code": "537032907",
            "telephone_number": "608-256-2358",
            "fax_number": "608-256-2350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "SUSAN",
        "middle_name": "JOAN",
        "name_prefix": "Ms.",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-11-10",
        "last_updated": "2011-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "WI",
            "license": "3209-123",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.