Individual provider Active NPI

Vanessa Solis, LCSW

  • Clinical Social Worker
  • Walnut Creek, CA
National Provider Identifier
1740421643
Registry record updated Sep 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
73851 Issued in CA
Practice address
1901 Olympic Blvd Ste 240
Walnut Creek, CA 94596-5076
Phone
(925) 257-0205
NPI assigned
Mar 23, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 20, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 73851 CA Primary

Addresses

Primary practice location

1901 Olympic Blvd Ste 240
Walnut Creek, CA 94596-5076

Mailing address

PO Box 9211
Pittsburg, CA 94565-9211
Phone (805) 729-6929

Other practice location 1

39465 Paseo Padre Pkwy Ste 2100
Fremont, CA 94538-1624
Phone (510) 745-9151

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
73851CAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Vanessa Solis Licensed Clinical Social Worker, PC Current 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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1237766400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537401600000",
    "number": "1740421643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9211",
            "city": "PITTSBURG",
            "state": "CA",
            "postal_code": "945659211",
            "telephone_number": "805-729-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1901 OLYMPIC BLVD STE 240",
            "city": "WALNUT CREEK",
            "state": "CA",
            "postal_code": "945965076",
            "telephone_number": "925-257-0205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "39465 Paseo Padre Pkwy Ste 2100",
            "address_purpose": "LOCATION",
            "city": "Fremont",
            "state": "CA",
            "postal_code": "945381624",
            "country_code": "US",
            "telephone_number": "510-745-9151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOLIS",
        "first_name": "VANESSA",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-03-23",
        "last_updated": "2018-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "73851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Walnut Creek, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2018; 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.