Provider Demographics
NPI:1164056057
Name:SILVER, SCOTT ERIC (LCSW)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:ERIC
Last Name:SILVER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2350 BROADWAY APT 725
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10024-3214
Mailing Address - Country:US
Mailing Address - Phone:516-647-0500
Mailing Address - Fax:
Practice Address - Street 1:2350 BROADWAY APT 725
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10024-3214
Practice Address - Country:US
Practice Address - Phone:917-716-7332
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-28
Last Update Date:2023-05-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW106851041C0700X
NY0861591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical