Individual provider Active NPI

Cherelle Josette Shenisse Solomon, MSW, LCSW

  • Clinical Social Worker
  • Lynwood, CA
National Provider Identifier
1770098824
Registry record updated Dec 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS90758 Issued in CA
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

Updated by the provider on Dec 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
ASW74940CAMDClinical Social Worker
LCS90758CAMDClinical Social Worker
11013CTMDPhysical 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.

Verify at the official NPI Registry.