Elev8Ted Perspectives Consultation Services

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

076748-1 Issued in NY

Legal business name

ELEV8TED PERSPECTIVES CONSULTATION SERVICES

Practice address

606 Johnson Ave Ste 17
Bohemia, NY 11716-2688

Phone

(631) 800-1975

Fax

(631) 693-2798

NPI assigned

Sep 22, 2015

Organization subpart

No

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

Authorized official

Name

Laquetta Dashea Solomon, LCSWNPI 1609005776

Title

Owner

Phone

(631) 800-1975

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laquetta D Solomon, LCSW

  • Clinical Social Worker
  • Bohemia, NY
  • NPI 1609005776
  NPD Authorized official

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

{
    "created_epoch": "1442880000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1673395200000",
    "number": "1740659507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 401",
            "city": "MEDFORD",
            "state": "NY",
            "postal_code": "117630401",
            "telephone_number": "631-800-1975",
            "fax_number": "631-883-8511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "606 JOHNSON AVE STE 17",
            "city": "BOHEMIA",
            "state": "NY",
            "postal_code": "117162688",
            "telephone_number": "631-800-1975",
            "fax_number": "631-693-2798"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ELEV8TED PERSPECTIVES CONSULTATION SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-22",
        "last_updated": "2023-01-11",
        "certification_date": "2021-01-21",
        "status": "A",
        "authorized_official_last_name": "SOLOMON",
        "authorized_official_first_name": "LAQUETTA",
        "authorized_official_middle_name": "DASHEA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "631-800-1975",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "076748-1",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Bohemia, NY
• Providers in Bohemia, NY by specialty
• Clinical Social Worker in New York

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