David L. Solem, L.C.S.W

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

C-08311 Issued in NM

Practice address

1107 Sangre de Cristo St
Santa Fe, NM 87501-1055

Phone

(505) 204-6883

Fax

(505) 820-9220

NPI assigned

Dec 15, 2010

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1292371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493856000000",
    "number": "1659674570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 SANGRE DE CRISTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011055",
            "telephone_number": "505-204-6883",
            "fax_number": "505-820-9220"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 SANGRE DE CRISTO ST",
            "city": "SANTA FE",
            "state": "NM",
            "postal_code": "875011055",
            "telephone_number": "505-204-6883",
            "fax_number": "505-820-9220"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLEM",
        "first_name": "DAVID",
        "middle_name": "L.",
        "name_prefix": "Mr.",
        "credential": "L.C.S.W",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-12-15",
        "last_updated": "2017-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NM",
            "license": "M-07509",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NM",
            "license": "C-08311",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1082637",
            "state": "NM"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Solace Crisis Treatment Center
• Solace Crisis Treatment Center
• Christian Solano
• Damian Mateo Solano, OD
• Katherine Elisabeth Soleil, OT
• Lola Soler, SOCIAL WORKER LISW
• Bianca Elizabeth Solis Alvarez
• Kathrynn Francis Birnbaum Solis
• Ishwari Sollohub, MA, LMHC
• Mahlon R. Soloway, M.D.

• Clinical Social Worker in Santa Fe, NM
• Providers in Santa Fe, NM by specialty
• Clinical Social Worker in New Mexico

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2017; 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.