Individual provider Active NPI

Nancy F. Solomon, LCSW

  • Clinical Social Worker
  • Setauket, NY
National Provider Identifier
1912274358
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
080743 Issued in NY
Practice address
47 Route 25a
Setauket, NY 11733-2881
Phone
(631) 941-0400
Fax
(631) 941-0401
NPI assigned
Nov 30, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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 080743 NY Primary

Addresses

Primary practice location

47 Route 25a
Setauket, NY 11733-2881

Mailing address

PO Box 2521
Setauket, NY 11733-0756
Phone (631) 941-0400

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160616000681 NY Practitioner - Clinical Social Worker 8729379011 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
State University of New York at Stony Brook, School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

47 Route 25a
Setauket, NY 11733-2881
Phone (631) 941-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Debra Kuhn Psychological Services, PC CurrentSince Nov 12, 2019 Accepting new patients
Nancy F Solomon, LCSW, P.C. Clinical CurrentSince Apr 2, 2016 Accepting new patients

Locations

47 Route 25A
Setauket, NY 11733
Phone (631) 371-2995

Organizations & group practices 2

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": "1322611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1380844800000",
    "number": "1912274358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2521",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117330756",
            "telephone_number": "631-941-0400",
            "fax_number": "631-941-0401"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 ROUTE 25A",
            "city": "SETAUKET",
            "state": "NY",
            "postal_code": "117332881",
            "telephone_number": "631-941-0400",
            "fax_number": "631-941-0401"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLOMON",
        "first_name": "NANCY",
        "middle_name": "F.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-30",
        "last_updated": "2013-10-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NY",
            "license": "080743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Setauket, NY

Sources for this page

Verify at the official NPI Registry.