Provider Demographics
NPI:1700818556
Name:SOLOMON, MARGARET ANNE (LSW)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET
Middle Name:ANNE
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:LSW
Other - Prefix:MS
Other - First Name:MARGARET
Other - Middle Name:ANNE
Other - Last Name:FRANCISCI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:359 S MOUNTAIN BLVD
Mailing Address - Street 2:SUITE C2
Mailing Address - City:MOUNTAIN TOP
Mailing Address - State:PA
Mailing Address - Zip Code:18707
Mailing Address - Country:US
Mailing Address - Phone:570-403-5080
Mailing Address - Fax:570-403-5079
Practice Address - Street 1:359 S MOUNTAIN BLVD
Practice Address - Street 2:SUITE C2
Practice Address - City:MOUNTAIN TOP
Practice Address - State:PA
Practice Address - Zip Code:18707
Practice Address - Country:US
Practice Address - Phone:570-403-5080
Practice Address - Fax:570-403-5079
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW003490E104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker