Active NPI
Kimberly Solo, L.I.C.S.W.
- Clinical Social Worker
- Westwood, MA
National Provider Identifier
1750410643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 114511
- Practice address
- 727 High St
Suite 200
Westwood, MA 02090-2599 - Phone
- (617) 680-3695
- NPI assigned
- Mar 5, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 114511 | MA | Primary |
Addresses
Primary practice location
727 High St
Suite 200
Westwood, MA 02090-2599
Mailing address
727 High St
Suite 200
Westwood, MA 02090-2599
Phone (617) 680-3695
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
| License | State | Type | Specialty |
|---|---|---|---|
| 114511 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1434931200000",
"number": "1750410643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 HIGH ST",
"address_2": "SUITE 200",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902599",
"telephone_number": "617-680-3695"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 HIGH ST",
"address_2": "SUITE 200",
"city": "WESTWOOD",
"state": "MA",
"postal_code": "020902599",
"telephone_number": "617-680-3695"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SOLO",
"first_name": "KIMBERLY",
"name_prefix": "Mrs.",
"credential": "L.I.C.S.W.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-03-05",
"last_updated": "2015-06-22",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "114511",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Westwood, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.