MEDICARE: SILVIA ROWE 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	LCSW19452	CA

General Provider Information

NPI Number	:	1811064793
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SILVIA ROWE LCSW

Provider Business Mailing Address
First Line	:	3553 ATLANTIC AVE # 1424
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-5606
Country	:	US
Telephone Number	:	323-584-3700
Fax Number	:	323-277-4673

Provider Business Practice Location Address
First Line	:	2629 CLARENDON AVE
Second Line	:
City	:	HUNTINGTON PARK
State	:	CA
Zip	:	90255-4119
Country	:	US
Telephone Number	:	323-584-3700
Fax Number	:	323-277-4673

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

Provider Enumeration Date	:	11/29/2006
Last Update Date	:	06/16/2021

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