Active NPI
Cherelle Josette Shenisse Solomon, MSW, LCSW
- Clinical Social Worker
- Lynwood, CA
National Provider Identifier
1770098824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LCS90758
- Practice address
- 3737 Martin Luther King Jr Blvd Ste 550
Lynwood, CA 90262-3536 - Phone
- (323) 249-2950
- Fax
- (310) 609-0301
- NPI assigned
- Dec 12, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | ASW74940 | CA | |
| Clinical Social Worker | 1041C0700X | LCS90758 | CA | Primary |
Addresses
Primary practice location
3737 Martin Luther King Jr Blvd Ste 550
Lynwood, CA 90262-3536
Mailing address
435 W 126TH St
Los Angeles, CA 90061-1202
Phone (203) 598-8081
Other practice location 1
5300 Angeles Vista Blvd
View Park, CA 90043-1648
Phone (323) 295-4555 ext. 301
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ASW74940 | CA | MD | Clinical Social Worker |
| LCS90758 | CA | MD | Clinical Social Worker |
| 11013 | CT | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513036800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1575331200000",
"number": "1770098824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 W 126TH ST",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900611202",
"telephone_number": "203-598-8081"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3737 MARTIN LUTHER KING JR BLVD STE 550",
"city": "LYNWOOD",
"state": "CA",
"postal_code": "902623536",
"telephone_number": "323-249-2950",
"fax_number": "310-609-0301"
}
],
"practiceLocations": [
{
"address_1": "5300 Angeles Vista Blvd",
"address_purpose": "LOCATION",
"city": "View Park",
"state": "CA",
"postal_code": "900431648",
"country_code": "US",
"telephone_number": "323-295-4555 x301",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "SOLOMON",
"first_name": "CHERELLE",
"middle_name": "JOSETTE SHENISSE",
"credential": "MSW, LCSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-12",
"last_updated": "2019-12-03",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "ASW74940",
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "CA",
"license": "LCS90758",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lynwood, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.