Doctor Name: | ILENE NICOLE SOLOMON |
NPI Number: | 1003151754 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | 9923835 |
Business Practice Address: | 1405 Federal Blvd Denver, CO - 802042211 |
Business Phone Number: | 3035041517 |
Business Fax Number: | |
Mailing Address: | 1405 Federal Blvd, DENVER |
State: | CO |
Postal Code: | 802042211 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 12/06/2012 |
NPI Last Update Date: | 01/20/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 9923835 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |