Healthcare Provider Details

I. General information

NPI: 1346399458
Provider Name (Legal Business Name): NANCY D SILVER MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91 NORTHWEST DR
PLAINVILLE CT
06062-1534
US

IV. Provider business mailing address

11 SCHOOL ST
BURLINGTON CT
06013-2567
US

V. Phone/Fax

Practice location:
  • Phone: 860-747-8719
  • Fax: 860-793-3366
Mailing address:
  • Phone: 860-747-8719
  • Fax: 860-793-3366

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number002044
License Number StateCT

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: