Healthcare Provider Details

I. General information

NPI: 1629223391
Provider Name (Legal Business Name): ANNE W. SILBER LCSW,JD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE M. WIDERSTROM LCSW, JD

II. Dates (important events)

Enumeration Date: 11/22/2008
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

809 CHESTNUT LN
DAVIS CA
95616-2410
US

IV. Provider business mailing address

809 CHESTNUT LN
DAVIS CA
95616-2410
US

V. Phone/Fax

Practice location:
  • Phone: 530-376-7902
  • Fax:
Mailing address:
  • Phone: 530-376-7902
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number115642
License Number StateTX
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLCS16119
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: