Maria Guadalupe Jimenez Solis, MSW, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LW61109896 Issued in WA

Practice address

304 Main Ave S Ste 104
Renton, WA 98057-2758

Phone

(571) 402-5572

NPI assigned

Sep 11, 2024

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

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": "1726012800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1720814114",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 128",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980570128",
            "telephone_number": "571-402-5572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 MAIN AVE S STE 104",
            "city": "RENTON",
            "state": "WA",
            "postal_code": "980572758",
            "telephone_number": "571-402-5572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ SOLIS",
        "first_name": "MARIA",
        "middle_name": "GUADALUPE",
        "credential": "MSW, LICSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-09-11",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "WA",
            "license": "LW61109896",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia Jergens, ARNP
• Sara E Jerger, CCC-SLP
• Jet City Transportation Inc
• Christopher Jordan Jex, DC
• Shan Jiang, MD
• Teresa Jimenez, CG60621406
• Helina Endale Jimma, ARNP
• Myung-Yum Joy Jo, RN
• Gurpreet Singh Johal, M.D
• Derek Michael Johndrow, PHARM.D.

• Clinical Social Worker in Renton, WA
• Providers in Renton, WA by specialty
• Clinical Social Worker in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.