Healthcare Provider Details

I. General information

NPI: 1639052541
Provider Name (Legal Business Name): KAREN M SILVA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/29/2025
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2307 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-5813
US

IV. Provider business mailing address

2307 MARTIN LUTHER KING JR AVE SE
WASHINGTON DC
20020-5813
US

V. Phone/Fax

Practice location:
  • Phone: 202-956-9169
  • Fax: 202-956-9169
Mailing address:
  • Phone: 202-956-9169
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLG200004708
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLG200004708
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: