MEDICARE: MS. KAREN MARIE SOLOMON LISW

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	S.0021200	OH

General Provider Information

NPI Number	:	1467783134
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. KAREN MARIE SOLOMON LISW

Provider Business Mailing Address
First Line	:	2460 FAIRMOUNT BLVD STE 320
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44106-3164
Country	:	US
Telephone Number	:	216-356-1696
Fax Number	:	216-231-7235

Provider Business Practice Location Address
First Line	:	2460 FAIRMOUNT BLVD STE 320
Second Line	:
City	:	CLEVELAND HTS
State	:	OH
Zip	:	44106-3164
Country	:	US
Telephone Number	:	216-356-1696
Fax Number	:	216-231-7235

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

Provider Enumeration Date	:	01/20/2010
Last Update Date	:	01/22/2020

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