Provider Demographics
NPI:1649029885
Name:PAUL SOLOMON, LCSW
Entity type:Organization
Organization Name:PAUL SOLOMON, LCSW
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:SOLOMON
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:808-633-3009
Mailing Address - Street 1:PO BOX 1183
Mailing Address - Street 2:
Mailing Address - City:HAIKU
Mailing Address - State:HI
Mailing Address - Zip Code:96708-1183
Mailing Address - Country:US
Mailing Address - Phone:808-633-3009
Mailing Address - Fax:
Practice Address - Street 1:30 OLINDA RD
Practice Address - Street 2:
Practice Address - City:MAKAWAO
Practice Address - State:HI
Practice Address - Zip Code:96768-7360
Practice Address - Country:US
Practice Address - Phone:808-633-3009
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-17
Last Update Date:2025-08-27
Deactivation Date:2024-09-03
Deactivation Code:
Reactivation Date:2025-08-27
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty