Healthcare Provider Details

I. General information

NPI: 1740459239
Provider Name (Legal Business Name): ANGELA DA SILVA LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/28/2008
Last Update Date: 07/29/2026
Certification Date: 07/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 ODELL PLZ STE 284
YONKERS NY
10701-1412
US

IV. Provider business mailing address

845 N BROADWAY
WHITE PLAINS NY
10603-2403
US

V. Phone/Fax

Practice location:
  • Phone: 914-237-6089
  • Fax:
Mailing address:
  • Phone: 914-761-0600
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number080649
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: