MEDICARE: MR. STUART HOWARD SILVERMAN 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
1	1041C0700X	Clinical Social Worker	27508	CA

General Provider Information

NPI Number	:	1558702829
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. STUART HOWARD SILVERMAN LCSW

Provider Business Mailing Address
First Line	:	12765 TIARA ST
Second Line	:
City	:	VALLEY VILLAGE
State	:	CA
Zip	:	91607-1024
Country	:	US
Telephone Number	:	818-425-7623
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 N SAN FERNANDO BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91504-4234
Country	:	US
Telephone Number	:	818-842-5576
Fax Number	:

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

Provider Enumeration Date	:	07/15/2013
Last Update Date	:	07/15/2013

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