Provider Demographics
NPI:1164843256
Name:SILVIA, BECKY (LCSW,LICSW)
Entity Type:Individual
Prefix:
First Name:BECKY
Middle Name:
Last Name:SILVIA
Suffix:
Gender:F
Credentials:LCSW,LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 5TH ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:NH
Mailing Address - Zip Code:03820-2930
Mailing Address - Country:US
Mailing Address - Phone:603-534-0045
Mailing Address - Fax:207-658-7203
Practice Address - Street 1:16 5TH ST
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:NH
Practice Address - Zip Code:03820-2930
Practice Address - Country:US
Practice Address - Phone:603-534-0045
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-17
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MELC8124101YM0800X
NH472101YM0800X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health