Provider Demographics
NPI:1164727426
Name:BEGA-SILVA, DANIELLE CRYSTAL (LSCSW)
Entity Type:Individual
Prefix:MS
First Name:DANIELLE
Middle Name:CRYSTAL
Last Name:BEGA-SILVA
Suffix:
Gender:F
Credentials:LSCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:MEDICAL READINESS COMMAND EUROPE
Mailing Address - Street 2:UNIT 29421
Mailing Address - City:APO
Mailing Address - State:AE
Mailing Address - Zip Code:09136-9421
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:132 N EISENHOWER DR
Practice Address - Street 2:
Practice Address - City:JUNCTION CITY
Practice Address - State:KS
Practice Address - Zip Code:66441-3314
Practice Address - Country:US
Practice Address - Phone:785-762-4210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-18
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS41481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical