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NPI Code Detail

MEDICARE: CHELSEAANN VICTORIA SILVERWOOD

MEDICARE: CHELSEAANN VICTORIA SILVERWOOD
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
11041C0700XClinical Social Worker11050076-3501UT

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1260022408OTHERUTRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538524541
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHELSEAANN VICTORIA SILVERWOOD
Provider Business Mailing Address
First Line : 4645 MIDLAND DR STE 2
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-6825
Country : US
Telephone Number : 801-332-9139
Fax Number :
Provider Business Practice Location Address
First Line : 4645 MIDLAND DR STE 2
Second Line :
City : WEST HAVEN
State : UT
Zip : 84401-6825
Country : US
Telephone Number : 801-332-9139
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2015
Last Update Date : 04/25/2024

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Directions to “ CHELSEAANN VICTORIA SILVERWOOD ” Practice Location

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