Provider Demographics
NPI:1083943690
Name:KELVIN SILVER & ASSOCIATES LLC
Entity Type:Organization
Organization Name:KELVIN SILVER & ASSOCIATES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT & CEO
Authorized Official - Prefix:
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC,LCADC,CRC,NCC
Authorized Official - Phone:410-952-4088
Mailing Address - Street 1:4007 CARLISLE AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21216-1631
Mailing Address - Country:US
Mailing Address - Phone:443-708-5875
Mailing Address - Fax:
Practice Address - Street 1:800 N CHARLES ST STE 350R
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-5318
Practice Address - Country:US
Practice Address - Phone:410-952-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA196101YA0400X
MDLC2343101YM0800X
MD00043777225C00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
No225C00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRehabilitation CounselorGroup - Multi-Specialty