Provider Demographics
NPI:1083762520
Name:SILVER, LISA ROBIN (LCSW)
Entity Type:Individual
Prefix:
First Name:LISA
Middle Name:ROBIN
Last Name:SILVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7003 CHADWICK DR
Mailing Address - Street 2:SUITE 340
Mailing Address - City:BRENTWOOD
Mailing Address - State:TN
Mailing Address - Zip Code:37027-5232
Mailing Address - Country:US
Mailing Address - Phone:615-309-8020
Mailing Address - Fax:615-370-9901
Practice Address - Street 1:7003 CHADWICK DR
Practice Address - Street 2:SUITE 340
Practice Address - City:BRENTWOOD
Practice Address - State:TN
Practice Address - Zip Code:37027-5232
Practice Address - Country:US
Practice Address - Phone:615-309-8020
Practice Address - Fax:615-370-9901
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TNLSW3410101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3697834Medicare ID - Type UnspecifiedMEDICARE ID #