Provider Demographics
NPI:1598032807
Name:SOLARI, JOANNE LYNN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:JOANNE
Middle Name:LYNN
Last Name:SOLARI
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8708 N 192ND AVE
Mailing Address - Street 2:
Mailing Address - City:WADDELL
Mailing Address - State:AZ
Mailing Address - Zip Code:85355-9657
Mailing Address - Country:US
Mailing Address - Phone:732-762-9448
Mailing Address - Fax:
Practice Address - Street 1:8708 N 192ND AVE
Practice Address - Street 2:
Practice Address - City:WADDELL
Practice Address - State:AZ
Practice Address - Zip Code:85355-9657
Practice Address - Country:US
Practice Address - Phone:732-762-9448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-11-30
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ8389771041S0200X
NJ44SC055837001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool