Provider Demographics
NPI:1407577000
Name:CHELSIE SILVEIRA, LICENSED CLINICAL SOCIAL WORKER, INC.
Entity Type:Organization
Organization Name:CHELSIE SILVEIRA, LICENSED CLINICAL SOCIAL WORKER, INC.
Other - Org Name:SUNRISE COUNSELING GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CHELSIE
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:SILVEIRA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:805-409-7290
Mailing Address - Street 1:PO BOX 3791
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91359
Mailing Address - Country:US
Mailing Address - Phone:805-409-7290
Mailing Address - Fax:
Practice Address - Street 1:2060-D AVENIDA DE LOS ARBOLES #148
Practice Address - Street 2:
Practice Address - City:THOUSAND OAKS
Practice Address - State:CA
Practice Address - Zip Code:91362
Practice Address - Country:US
Practice Address - Phone:805-409-7290
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-12
Last Update Date:2022-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty