Healthcare Provider Details

I. General information

NPI: 1770880270
Provider Name (Legal Business Name): TIMOTHY LOYD SILVER LCSW
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: TIMOTHY FOSTER LCSW

II. Dates (important events)

Enumeration Date: 02/17/2011
Last Update Date: 05/22/2024
Certification Date: 05/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1735 MISSION ST
SAN FRANCISCO CA
94103-2417
US

IV. Provider business mailing address

3356 ADELINE ST
BERKELEY CA
94703-2737
US

V. Phone/Fax

Practice location:
  • Phone: 415-565-7667
  • Fax: 415-252-7512
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number64403
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: