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NPI Code Detail

MEDICARE: SUSAN SILBERMAN MSW, LCSW

MEDICARE: SUSAN SILBERMAN MSW, LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerC003687NC

General Provider Information

NPI Number : 1295333516
Entity Type Code : Individual
Provider Name (Legal Business Name) : SUSAN SILBERMAN MSW, LCSW
Provider Business Mailing Address
First Line : 8480 HONEYCUTT RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27615-2261
Country : US
Telephone Number : 415-403-2156
Fax Number :
Provider Business Practice Location Address
First Line : 8480 HONEYCUTT RD STE 200
Second Line :
City : RALEIGH
State : NC
Zip : 27615-2261
Country : US
Telephone Number : 415-403-2156
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/09/2020
Last Update Date : 11/04/2020

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