Healthcare Provider Details

I. General information

NPI: 1942392279
Provider Name (Legal Business Name): ELLEN J SILVER LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 10/21/2022
Certification Date: 10/21/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3802 SENECA ST
WEST SENECA NY
14224-3433
US

IV. Provider business mailing address

17 RAVENSBROOK CT
GETZVILLE NY
14068-1340
US

V. Phone/Fax

Practice location:
  • Phone: 716-677-5418
  • Fax: 716-677-4240
Mailing address:
  • Phone: 716-689-9545
  • Fax: 716-677-4240

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberR033763-1
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: