MEDICARE: REBECCA SOLOMON LCSW LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0850X	Adult Mental Health Clinic/Center

General Provider Information

NPI Number	:	1518818277
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	REBECCA SOLOMON LCSW LLC

Provider Business Mailing Address
First Line	:	49 PLYMOUTH ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2617
Country	:	US
Telephone Number	:	312-925-4169
Fax Number	:

Provider Business Practice Location Address
First Line	:	49 PLYMOUTH ST
Second Line	:
City	:	MONTCLAIR
State	:	NJ
Zip	:	07042-2617
Country	:	US
Telephone Number	:	312-925-4169
Fax Number	:

Authorized Official
Title or Position	:	OWNER/THERAPIST
Name	:	REBECCA SOLOMON
Credential	:	MSW, LCSW, LICSW
Telephone Number	:	312-925-4169

Provider Enumeration Date	:	02/06/2026
Last Update Date	:	02/06/2026

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