MEDICARE: NANCY ELLEN SILBERT M.S.W.

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	LCS13169	CA

General Provider Information

NPI Number	:	1952322547
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NANCY ELLEN SILBERT M.S.W.

Provider Business Mailing Address
First Line	:	21707 HAWTHORNE BLVD
Second Line	:	SUITE 304
City	:	TORRANCE
State	:	CA
Zip	:	90503-7009
Country	:	US
Telephone Number	:	310-406-3320
Fax Number	:	310-406-3326

Provider Business Practice Location Address
First Line	:	21707 HAWTHORNE BLVD
Second Line	:	SUITE 304
City	:	TORRANCE
State	:	CA
Zip	:	90503-7009
Country	:	US
Telephone Number	:	310-406-3320
Fax Number	:	310-406-3326

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

Provider Enumeration Date	:	07/21/2006
Last Update Date	:	12/27/2008

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