Provider Demographics
NPI:1225659535
Name:SOLOMON, MICHELLE (LICSW)
Entity Type:Individual
Prefix:
First Name:MICHELLE
Middle Name:
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:158 SW 148TH ST # 1106
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-1924
Mailing Address - Country:US
Mailing Address - Phone:206-350-8197
Mailing Address - Fax:
Practice Address - Street 1:19712 41ST AVE S
Practice Address - Street 2:
Practice Address - City:SEATAC
Practice Address - State:WA
Practice Address - Zip Code:98188-5438
Practice Address - Country:US
Practice Address - Phone:206-350-8197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-28
Last Update Date:2023-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical