Healthcare Provider Details

I. General information

NPI: 1730159542
Provider Name (Legal Business Name): ALINA SILVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2006
Last Update Date: 01/29/2020
Certification Date: 01/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

253 MAIN ST
YARMOUTH ME
04096-6800
US

IV. Provider business mailing address

31 UPLAND LN
YARMOUTH ME
04096-8367
US

V. Phone/Fax

Practice location:
  • Phone: 207-228-3982
  • Fax:
Mailing address:
  • Phone: 207-228-3983
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC12069
License Number StateME

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: