MEDICARE: SOLIMAR MATTEI-WELCH MSW, LMSW

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
1	1041C0700X	Clinical Social Worker	6801083877	MI

General Provider Information

NPI Number	:	1770694473
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SOLIMAR MATTEI-WELCH MSW, LMSW

Provider Business Mailing Address
First Line	:	409 W HOLLY DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7646
Country	:	US
Telephone Number	:	321-512-0717
Fax Number	:

Provider Business Practice Location Address
First Line	:	409 W HOLLY DR
Second Line	:
City	:	ORANGE CITY
State	:	FL
Zip	:	32763-7646
Country	:	US
Telephone Number	:	321-512-0717
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/31/2006
Last Update Date	:	03/17/2025

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