Provider Demographics
NPI:1255432712
Name:SOLOMON, MARCIE ELLEN (MSW)
Entity type:Individual
Prefix:MS
First Name:MARCIE
Middle Name:ELLEN
Last Name:SOLOMON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:MRS
Other - First Name:MARCIA
Other - Middle Name:SOLOMON
Other - Last Name:SEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW
Mailing Address - Street 1:1600 WILSON BLVD
Mailing Address - Street 2:SUITE 702
Mailing Address - City:ARLINGTON
Mailing Address - State:VA
Mailing Address - Zip Code:22209-2511
Mailing Address - Country:US
Mailing Address - Phone:703-522-9053
Mailing Address - Fax:703-525-5643
Practice Address - Street 1:1600 WILSON BLVD
Practice Address - Street 2:SUITE 702
Practice Address - City:ARLINGTON
Practice Address - State:VA
Practice Address - Zip Code:22209-2511
Practice Address - Country:US
Practice Address - Phone:703-522-9053
Practice Address - Fax:703-525-5643
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-26
Last Update Date:2014-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040003031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical