Provider Demographics
NPI:1518002856
Name:SOLOMON BRITTOIN, RANDYE (LCSW C)
Entity Type:Individual
Prefix:
First Name:RANDYE
Middle Name:
Last Name:SOLOMON BRITTOIN
Suffix:
Gender:F
Credentials:LCSW C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7358 HIDDEN COVE ROAD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21046
Mailing Address - Country:US
Mailing Address - Phone:410-290-7331
Mailing Address - Fax:
Practice Address - Street 1:5560 STERRETT PLACE
Practice Address - Street 2:STE 201
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-995-5555
Practice Address - Fax:410-995-5556
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD10777104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PVPB159364OtherAMERICAN PSYCH SYSTEMS
MDH1240010OtherCAREFIRST BCBS
MD292247OtherMD IPA ALLIANCE
332150OtherMANAGED HEALTH NETWORK
MD61120901OtherCAREFIRST BCBS
339293OtherVALUE OPTIONS
226160OtherKAISER PERMANENTE
MD292247OtherMAMSI OPTIMUM CHOICE
7525290OtherAETNA US HEALTHCARE
9254797OtherPRIVATE HEALTHCARE SYSTEM
332150OtherMANAGED HEALTH NETWORK