MEDICARE: SANDRA LEE SILBERMANN LCSW-C

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	1041C0700X	Clinical Social Worker	03981	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	QG09	OTHER	MD	MAGELLAN PV#40
3	03981	OTHER	MD	MD LCSW-C
4	52196	OTHER	MD	INFOR MED ENVOY
5	47-0899-197	OTHER	MD	FED TAX ID

General Provider Information

NPI Number	:	1841311206
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SANDRA LEE SILBERMANN LCSW-C

Provider Business Mailing Address
First Line	:	1110 FIDLER LN
Second Line	:	1218
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3425
Country	:	US
Telephone Number	:	301-588-6515
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 FIDLER LN
Second Line	:	1218
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3425
Country	:	US
Telephone Number	:	301-588-6515
Fax Number	:

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

Provider Enumeration Date	:	04/03/2007
Last Update Date	:	07/08/2007

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