Provider Demographics
NPI:1336495779
Name:SILVERTON, MARGERY SUE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:MARGERY
Middle Name:SUE
Last Name:SILVERTON
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:504 EPPING FOREST RD
Mailing Address - Street 2:
Mailing Address - City:ANNAPOLIS
Mailing Address - State:MD
Mailing Address - Zip Code:21401-6518
Mailing Address - Country:US
Mailing Address - Phone:410-693-4405
Mailing Address - Fax:
Practice Address - Street 1:504 EPPING FOREST RD
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-6518
Practice Address - Country:US
Practice Address - Phone:410-693-4405
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-02
Last Update Date:2012-08-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD02488101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health