Healthcare Provider Details

I. General information

NPI: 1235542234
Provider Name (Legal Business Name): CASSIE M SILVA PALMER M.A.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CASSIE M WALTERS-SILVA

II. Dates (important events)

Enumeration Date: 06/06/2014
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

10 LIONEL PIERSON RD
GREENE RI
02827-1902
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-4126
  • Fax:
Mailing address:
  • Phone: 774-265-5189
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: