Provider Demographics
NPI:1124149299
Name:SOLARZ, MARY M (LCSW-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:M
Last Name:SOLARZ
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:919 BACK RIVER NECK RD
Mailing Address - Street 2:
Mailing Address - City:ESSEX
Mailing Address - State:MD
Mailing Address - Zip Code:21221-1923
Mailing Address - Country:US
Mailing Address - Phone:180-847-6028
Mailing Address - Fax:
Practice Address - Street 1:7930 SILVER OAK RD
Practice Address - Street 2:
Practice Address - City:HANOVER
Practice Address - State:MD
Practice Address - Zip Code:21076-2051
Practice Address - Country:US
Practice Address - Phone:754-800-8019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-03
Last Update Date:2023-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD056251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical