Provider Demographics
NPI:1215016670
Name:SILVER, KAREN SUE (MSW ,LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KAREN
Middle Name:SUE
Last Name:SILVER
Suffix:
Gender:F
Credentials:MSW ,LCSW
Other - Prefix:
Other - First Name:KAREN
Other - Middle Name:SUE
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW
Mailing Address - Street 1:244 S. MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:CT
Mailing Address - Zip Code:06415
Mailing Address - Country:US
Mailing Address - Phone:860-214-3928
Mailing Address - Fax:860-537-5426
Practice Address - Street 1:244 S. MAIN ST.
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:CT
Practice Address - Zip Code:06415
Practice Address - Country:US
Practice Address - Phone:860-214-3928
Practice Address - Fax:860-537-5426
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-04
Last Update Date:2016-05-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT0027981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT004263761Medicaid