MEDICARE: JENNY SILVA

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	104100000X	Social Worker	LCS17816	CA
2	103T00000X	Psychologist	23844	CA

General Provider Information

NPI Number	:	1225150279
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY SILVA

Provider Business Mailing Address
First Line	:	375 89TH ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-1802
Country	:	US
Telephone Number	:	650-301-8663
Fax Number	:

Provider Business Practice Location Address
First Line	:	350 90TH ST
Second Line	:
City	:	DALY CITY
State	:	CA
Zip	:	94015-1879
Country	:	US
Telephone Number	:	650-301-8663
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	04/21/2021

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Directions to “ JENNY SILVA ” Practice Location

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