MEDICARE: CENTER FOR ALCOHOL AND DRUG TREATMENT, INC.

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	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	788855400	OTHER	MN	STATE OF MN, DHS, CD FUND
2	795255400	OTHER	MN	STATE OF MN, DHS, CD FUND
3	4C48DU	OTHER	MN	BLUE CROSS BLUE SHIELD MN
4	8097HO	OTHER	MN	BLUE CROSS BLUE SHIELD MN
5	122711	OTHER	MN	UCARE MINNESOTA
6	195105000	OTHER	MN	STATE OF MN, DHS, CD FUND
7	398755800	OTHER	MN	STATE OF MN, DHS, CD FUND
8	657623100	OTHER	MN	STATE OF MN, DHS, CD FUND
9	7C04CE	OTHER	MN	BLUE CROSS BLUE SHIELD MN
10	048755400	OTHER	MN	STATE OF MN, DHS, CD FUND
11	588756900	OTHER	MN	STATE OF MN, DHS, CD FUND
12	9068CE	OTHER	MN	BLUE CROSS BLUE SHIELD MN

General Provider Information

NPI Number	:	1619196524
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CENTER FOR ALCOHOL AND DRUG TREATMENT, INC.

Provider Business Mailing Address
First Line	:	314 W SUPERIOR ST STE 400
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1892
Country	:	US
Telephone Number	:	218-723-8444
Fax Number	:	218-336-4652

Provider Business Practice Location Address
First Line	:	314 W SUPERIOR ST STE 400
Second Line	:
City	:	DULUTH
State	:	MN
Zip	:	55802-1892
Country	:	US
Telephone Number	:	218-723-8444
Fax Number	:	218-529-3440

Authorized Official
Title or Position	:	CEO
Name	:	MS. TINA M. SILVERNESS
Credential	:	MBA, MAM, LADC, LSW
Telephone Number	:	715-817-6314

Provider Enumeration Date	:	04/25/2007
Last Update Date	:	02/11/2026

Similar Medicare Providers

1124688577 — DOLPH BENJAMIN SEARS JR. LICSW
Practice Location Address:

314 W SUPERIOR ST STE 400
DULUTH, MN
55802-1892

Practice Phone: 218-723-8444
Practice Fax: 218-529-3440

1033751003 — PAUL RUSSELL GIDDINGS MSW, LGSW
Practice Location Address:

332 W SUPERIOR ST STE 300
DULUTH, MN
55802-1844

Practice Phone: 437-921-8722
Practice Fax:

1972264471 — WATERMAN COUNSELING, LLC
Practice Location Address:

600 E SUPERIOR ST STE 404
DULUTH, MN
55802-2237

Practice Phone: 218-302-5096
Practice Fax: 218-520-1789

1720406309 — HANNAH WATERMAN LICSW
Practice Location Address:

600 E SUPERIOR ST STE 404
DULUTH, MN
55802-2237

Practice Phone: 218-302-5096
Practice Fax: 218-520-1789

1386764355 — SHELLY L SMART MSW, LICSW
Practice Location Address:

1100 E SUPERIOR ST
DULUTH, MN
55802-2217

Practice Phone: 218-940-3445
Practice Fax: 855-251-2472

1396526349 — LINDSAY LARSON PA-C
Practice Location Address:

1001 E SUPERIOR ST STE 201
DULUTH, MN
55802-2228

Practice Phone: 218-249-5950
Practice Fax: 218-249-3091

Directions to “CENTER FOR ALCOHOL AND DRUG TREATMENT, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.