Provider Demographics
NPI:1699177568
Name:NANCY SOLOW
Entity Type:Organization
Organization Name:NANCY SOLOW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:SOLOW
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:413-588-6255
Mailing Address - Street 1:81 FOX FARMS RD
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01062-1334
Mailing Address - Country:US
Mailing Address - Phone:413-341-3679
Mailing Address - Fax:
Practice Address - Street 1:104 RUSSELL ST
Practice Address - Street 2:
Practice Address - City:HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01035-9570
Practice Address - Country:US
Practice Address - Phone:413-588-6255
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-09-22
Last Update Date:2014-09-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10274511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty