MEDICARE: MARY M SOLARZ 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	1041C0700X	Clinical Social Worker	05625	MD

General Provider Information

NPI Number	:	1124149299
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MARY M SOLARZ LCSW-C

Provider Business Mailing Address
First Line	:	919 BACK RIVER NECK RD
Second Line	:
City	:	ESSEX
State	:	MD
Zip	:	21221-1923
Country	:	US
Telephone Number	:	180-847-6028
Fax Number	:

Provider Business Practice Location Address
First Line	:	7930 SILVER OAK RD
Second Line	:
City	:	HANOVER
State	:	MD
Zip	:	21076-2051
Country	:	US
Telephone Number	:	754-800-8019
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	01/09/2023

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