Healthcare Provider Details

I. General information

NPI: 1275685562
Provider Name (Legal Business Name): SHEILA ANN SILVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/17/2007
Last Update Date: 06/13/2023
Certification Date: 06/13/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

309 FELLOWSHIP RD STE 200
MOUNT LAUREL NJ
08054-1234
US

IV. Provider business mailing address

309 FELLOWSHIP RD STE 200
MOUNT LAUREL NJ
08054-1234
US

V. Phone/Fax

Practice location:
  • Phone: 856-665-7001
  • Fax:
Mailing address:
  • Phone: 856-665-7001
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC01463900
License Number StateNJ

VII. Legacy identifiers

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

# 1
Identifier2321821000
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerAMERIHEALTH
# 2
Identifier537287000
Identifier TypeOTHER
Identifier StateNJ
Identifier IssuerMAGELLAN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: