Provider Demographics
NPI:1265965917
Name:SOLTE, MARKROEL PADUA (LCSW 94351)
Entity type:Individual
Prefix:MR
First Name:MARKROEL
Middle Name:PADUA
Last Name:SOLTE
Suffix:
Gender:M
Credentials:LCSW 94351
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16332 MARVENE DR
Mailing Address - Street 2:
Mailing Address - City:HACIENDA HEIGHTS
Mailing Address - State:CA
Mailing Address - Zip Code:91745-4941
Mailing Address - Country:US
Mailing Address - Phone:209-915-9117
Mailing Address - Fax:
Practice Address - Street 1:16332 MARVENE DR
Practice Address - Street 2:
Practice Address - City:HACIENDA HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91745-4941
Practice Address - Country:US
Practice Address - Phone:562-298-2291
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW943511041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical