Individual provider Active NPI

Evelyn Solomon, LMSW

  • Clinical Social Worker
  • Miami Beach, FL
National Provider Identifier
1508414590
Registry record updated Nov 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
093856 Issued in NY
Practice address
6365 Collins Ave Apt 2501
Miami Beach, FL 33141-9617
Phone
(802) 734-5285
NPI assigned
Sep 3, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X SW20209 FL
Clinical Social Worker 1041C0700X 093856 NY Primary

Addresses

Primary practice location

6365 Collins Ave Apt 2501
Miami Beach, FL 33141-9617

Mailing address

6365 Collins Ave Apt 2501
Miami Beach, FL 33141-9617
Phone (802) 734-5285

Other practice location 1

245 E 25th St Apt 7G
New York, NY 10010-3045
Phone (802) 734-5285

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

LicenseStateTypeSpecialty
SW20209FLMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ewellness Therapy, PLLC Clinical CurrentSince May 17, 2020 Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1567468800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1699574400000",
    "number": "1508414590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6365 COLLINS AVE APT 2501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331419617",
            "telephone_number": "802-734-5285"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6365 COLLINS AVE APT 2501",
            "city": "MIAMI BEACH",
            "state": "FL",
            "postal_code": "331419617",
            "telephone_number": "802-734-5285"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "245 E 25th St Apt 7G",
            "address_purpose": "LOCATION",
            "city": "New York",
            "state": "NY",
            "postal_code": "100103045",
            "country_code": "US",
            "telephone_number": "802-734-5285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "EVELYN",
        "credential": "LMSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-09-03",
        "last_updated": "2023-11-10",
        "certification_date": "2023-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "FL",
            "license": "SW20209",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "093856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2023; 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.