Healthcare Provider Details

I. General information

NPI: 1013883750
Provider Name (Legal Business Name): SILVANA VALENTINA RUA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2025
Last Update Date: 10/10/2025
Certification Date: 10/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30 WINTER PL FL 12
BOSTON MA
02108-4733
US

IV. Provider business mailing address

30 WINTER PL FL 12
BOSTON MA
02108-4733
US

V. Phone/Fax

Practice location:
  • Phone: 866-610-2273
  • Fax:
Mailing address:
  • Phone: 866-610-2273
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number227442
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: