Healthcare Provider Details

I. General information

NPI: 1235070475
Provider Name (Legal Business Name): HOLLIE DASILVA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/02/2026
Last Update Date: 04/02/2026
Certification Date: 04/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

IV. Provider business mailing address

593 EDDY ST
PROVIDENCE RI
02903-4923
US

V. Phone/Fax

Practice location:
  • Phone: 401-444-3381
  • Fax: 401-519-2909
Mailing address:
  • Phone: 401-444-3381
  • Fax: 401-519-2909

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberISW04665
License Number StateRI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: