Provider Demographics
NPI:1235260019
Name:SILVER, LAURIE A (LICSW)
Entity type:Individual
Prefix:MS
First Name:LAURIE
Middle Name:A
Last Name:SILVER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:35 SANDY RIDGE CIR
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-1849
Mailing Address - Country:US
Mailing Address - Phone:781-784-7197
Mailing Address - Fax:
Practice Address - Street 1:35 SANDY RIDGE CIR
Practice Address - Street 2:
Practice Address - City:SHARON
Practice Address - State:MA
Practice Address - Zip Code:02067-1849
Practice Address - Country:US
Practice Address - Phone:781-784-7197
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1052481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAP21406Medicare ID - Type Unspecified