Angela Solomon, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW002445 Issued in GA

Practice address

3058 Rolling Rd N
Macon, GA 31204-1077

Phone

(478) 475-0464

NPI assigned

Jan 3, 2014

Last updated

Jan 3, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

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

Medicare enrollment (NPD)

Enrolled

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.

• Advanced Juvenile Enhancement, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Macon, GA
  • NPI 1477135994
  Authorized official Same address or phone

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

{
    "created_epoch": "1388707200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1388707200000",
    "number": "1659792083",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3058 ROLLING RD N",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041077",
            "telephone_number": "478-475-0464"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3058 ROLLING RD N",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312041077",
            "telephone_number": "478-475-0464"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "ANGELA",
        "name_prefix": "Mrs.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-01-03",
        "last_updated": "2014-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW002445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bola Sogade, M.D.
• Felix O Sogade, M.D.
• Camron Sohn, MD
• Olaolu Omotayo Soleye, M.D
• Rendi Latrice Solis, BSN, MSN, DHA
• Quintessa Lashonte' Solomon, LPC
• Reginald J. Solomon, LPC
• Shanela Solomon
• Sonare Hearing Aid Services, LLC
• Linda Sosebee, APRN, FNP-C

• Clinical Social Worker in Macon, GA
• Providers in Macon, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.