MEDICARE: MRS. SHERRYL LYNN SILBERMAN MSW LCSWC BCD

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
1	1041C0700X	Clinical Social Worker	03078	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	0005	OTHER		BS FEDERAL GROUP S003
2	100026195	OTHER		APS
3	162199	OTHER		MHN AND TRICARE
4	4407511	OTHER		AETNA BEHAVIORAL HEALTH
5	42100306	OTHER	MD	BLUE SHIELD
6	513269	OTHER		NCPPO INNOVA MHIP
7	522229157	OTHER		PHCS
8	002254	OTHER		VALUE OPTIONS GREAT WEST
9	11250444	OTHER		CAQH
10	31923	OTHER		MAMSI UNITED HEALTH CARE
11	207140000	OTHER		MAGELLAN BEHAVIORAL HEALT

General Provider Information

NPI Number	:	1336101351
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHERRYL LYNN SILBERMAN MSW LCSWC BCD

Provider Business Mailing Address
First Line	:	877 BALTIMORE ANNAPOLIS BLVD STE 202
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-4716
Country	:	US
Telephone Number	:	410-760-5588
Fax Number	:	410-544-3646

Provider Business Practice Location Address
First Line	:	877 BALTIMORE ANNAPOLIS BLVD STE 202
Second Line	:
City	:	SEVERNA PARK
State	:	MD
Zip	:	21146-4716
Country	:	US
Telephone Number	:	410-760-5588
Fax Number	:	410-544-3646

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/05/2006
Last Update Date	:	07/21/2022

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