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NPI Code Detail

MEDICARE: LEI NATHANIEL SOLOMON BSW

MEDICARE:   LEI NATHANIEL SOLOMON  BSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1104100000XSocial Worker
2104100000XSocial WorkerS.2403806-TRNEOH
3172V00000XCommunity Health Worker

General Provider Information

NPI Number : 1326584988
Entity Type Code : Individual
Provider Name (Legal Business Name) : LEI NATHANIEL SOLOMON BSW
Provider Business Mailing Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 330-921-1346
Fax Number :
Provider Business Practice Location Address
First Line : 2359 KNOLLWOOD AVE
Second Line :
City : YOUNGSTOWN
State : OH
Zip : 44514-1525
Country : US
Telephone Number : 330-921-1346
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2017
Last Update Date : 07/15/2025

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Directions to “ LEI NATHANIEL SOLOMON BSW” Practice Location

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