Provider Demographics
NPI:1235542234
Name:SILVA, CASSIE M (MA)
Entity Type:Individual
Prefix:
First Name:CASSIE
Middle Name:M
Last Name:SILVA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:CASSIE
Other - Middle Name:M
Other - Last Name:WALTERS-SILVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:42 WHITE AVE
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:RI
Mailing Address - Zip Code:02915-3523
Mailing Address - Country:US
Mailing Address - Phone:774-265-5189
Mailing Address - Fax:
Practice Address - Street 1:463 SWANSEA MALL DR
Practice Address - Street 2:
Practice Address - City:SWANSEA
Practice Address - State:MA
Practice Address - Zip Code:02777-4119
Practice Address - Country:US
Practice Address - Phone:508-324-1060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-06
Last Update Date:2014-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health