Healthcare Provider Details

I. General information

NPI: 1205959707
Provider Name (Legal Business Name): ANNETTE SILVESTRI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/09/2007
Last Update Date: 11/29/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

35 AMBOY AVENUE
METUCHEN NJ
08840
US

IV. Provider business mailing address

210 W. FRICH AVE
MANVILLE NJ
08835
US

V. Phone/Fax

Practice location:
  • Phone: 973-462-2840
  • Fax:
Mailing address:
  • Phone: 973-462-2840
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC00294100
License Number StateNJ

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: