MR. THEODORE LAURENCE SOLOMON (NPI# 1619902939) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619902939 |
| Entity Type | Individual |
| Full Name | MR. THEODORE LAURENCE SOLOMON |
| Credential | LCSW |
| Practice Address |
39767 Paseo Padre Pkwy Suite D Fremont CA 94538-2993 |
| Practice Telephone | 5102472226 |
| Practice Fax Number | 5104450124 |
| Mailing Telephone | 5102472226 |
| Mailing Fax Number | 5104450124 |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
LCS7982 | CA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942228416 | Theodore Thomas Solomon | Community Health Worker | 1990 41st Ave, San Francisco, CA 94116-1101 | 2006-07-17 |
| Street Address |
39767 PASEO PADRE PKWY SUITE D |
| City | FREMONT |
| State | CA |
| Zip Code | 94538-2993 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306078324 | Simran Kaur Markar | Marriage & Family Therapist | 39767 Paseo Padre Pkwy, Suite A, Fremont, CA 94538-2993 | 2009-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699394460 | Bay Area Kidney Care Medical Group Inc. | Clinic/Center | 39370 Mozart Terrace Unit 106, Fremont, CA 94538 | 2020-04-13 |
| 1740847284 | Gloria Ann Federico | Behavior Technician | 39210 State St., Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2019-05-21 |
| 1093270688 | Timothy Lorne Haynes | Chiropractor | 3775 Beacon Ave., Suite 200, Fremont, CA 94538 | 2019-02-07 |
| 1902370067 | Nicole Sandoval | Counselor | 39155 Liberty St Suite E500, Fremont, CA 94538 | 2019-01-11 |
| 1497225015 | Megan Galban | Behavior Technician | 39210 State St. Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1780154302 | Karla Patricia Plascencia | Behavior Technician | 39210 State Street Suite 220, Fremont, CA 94538 | 2018-11-27 |
| 1215407846 | Sydney J Torrens | Behavior Technician | 39210 State St. Suite 220 Fremont, Ca 94538, Fremont, CA 94538 | 2018-11-27 |
| 1932676277 | Jarah Harvan | Psychologist | 1999 Mowry Ave Ste F, Fremont, CA 94538 | 2018-10-24 |
| 1205321965 | Chien Shien Yang Md Inc | Psychiatry & Neurology | 1860 Mowry Ave Ste 301a, Fremont, CA 94538 | 2018-06-26 |
| 1912416199 | Advanced Interventional Surgical Center | Clinic/Center | 3077 Stevenson Blvd, Fremont, CA 94538 | 2017-09-20 |
| Find all providers in zip 94538 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023617800 | Lauren Ashlei Pina | Social Worker | 39119 Liberty Street, Building B Room 118 Fre-122-sw, Fremont, CA 94538-1510 | 2020-10-22 |
| 1275163776 | Michelle Rene Petz | Social Worker | 25 W Main St Ste B, Fremont, MI 49412-1186 | 2020-01-23 |
| 1124594098 | Natasha Kharbanda | Social Worker | 4452 Sloat Rd, Fremont, CA 94538-1232 | 2018-10-18 |
| 1952899411 | Suzanne Vargas | Social Worker | 41224 Vargas Rd, Fremont, CA 94539-5442 | 2018-04-30 |
| 1497136410 | James Yon | Social Worker | 3682 S Maple Island Rd, Fremont, MI 49412 | 2015-06-16 |
| 1508282179 | Maitrayee Baksi-banerjee | Social Worker | 338 Stonebridge Dr, Fremont, CA 94536-1590 | 2014-03-06 |
| 1689097057 | Robin E Neville | Social Worker | 3607 Main Street B, Fremont, CA 94538 | 2014-01-21 |
| 1023443926 | Leilei Yuan | Social Worker | 39111 Paseo Padre Pkwy Ste 203e, Fremont, CA 94538-1694 | 2013-09-10 |
| 1003168220 | Tina Howerton | Social Worker | 3607 Main St Ste A, Fremont, CA 94538-4390 | 2012-10-11 |
| 1376829986 | David Guardiola | Social Worker | 1235 Carbon St, Fremont, OH 43420-1727 | 2011-10-26 |
| Find all providers in FREMONT | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.