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Provider Information for 1770694473


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SOLIMAR MATTEI-WELCH MSW, LMSW


Sex: Female

NPI: 1770694473
Last Updated: 2025-03-17
Certification Date: 2025-03-17

Details

NameValue
NPI1770694473
Enumeration Date2006-08-31
NPI TypeNPI-1 Individual
Sole ProprietorNO
StatusActive
Mailing Address 409 W HOLLY DR
ORANGE CITY, FL 32763-7646
United States

Phone: 321-512-0717 | Fax:
 
Primary Practice Address 409 W HOLLY DR
ORANGE CITY, FL 32763-7646
United States

Phone: 321-512-0717 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 1041C0700X - Social Worker - ClinicalMI6801083877