MEDICARE: MICHELLE LEAH SOLOMON LCSW-C

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	104100000X	Social Worker	26966	MD
2	1041C0700X	Clinical Social Worker	26966	MD

General Provider Information

NPI Number	:	1609440031
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHELLE LEAH SOLOMON LCSW-C

Provider Business Mailing Address
First Line	:	4305 ROSEDALE AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4750
Country	:	US
Telephone Number	:	443-584-6241
Fax Number	:

Provider Business Practice Location Address
First Line	:	4305 ROSEDALE AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-4750
Country	:	US
Telephone Number	:	650-218-0011
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/19/2021
Last Update Date	:	06/01/2026

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