Individual provider Active NPI

Mary Ellen Solon, MSW, LCSW

  • Clinical Social Worker
  • Tulsa, OK
National Provider Identifier
1942743885
Registry record updated Apr 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
7868 Issued in OK
Practice address
808 S Peoria Ave
Tulsa, OK 74120-4427
Phone
(918) 560-1300
NPI assigned
Nov 26, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2023

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 7868 OK Primary
Clinical Social Worker 1041C0700X 089.0116605 VT

Addresses

Primary practice location

808 S Peoria Ave
Tulsa, OK 74120-4427

Mailing address

808 S Peoria Ave
Tulsa, OK 74120-4427
Phone (918) 560-1300

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
089.0116605VTMDClinical Social Worker
7868OKMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family & Children'S Services, Inc CurrentSince Apr 16, 2023 Accepting new patients

Locations

808 S Peoria Ave
Tulsa, OK 74120
Phone (918) 281-8500

Organizations & group practices 1

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": "1480118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1681344000000",
    "number": "1942743885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "808 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204427",
            "telephone_number": "918-560-1300"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "808 S PEORIA AVE",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741204427",
            "telephone_number": "918-560-1300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLON",
        "first_name": "MARY ELLEN",
        "credential": "MSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-11-26",
        "last_updated": "2023-04-13",
        "certification_date": "2023-04-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "OK",
            "license": "7868",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VT",
            "license": "089.0116605",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.