Provider Demographics
NPI:1417158510
Name:SILVIA, JAMES S (LADC1)
Entity Type:Individual
Prefix:MR
First Name:JAMES
Middle Name:S
Last Name:SILVIA
Suffix:
Gender:M
Credentials:LADC1
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:38 MARKS WAY
Mailing Address - Street 2:
Mailing Address - City:CARVER
Mailing Address - State:MA
Mailing Address - Zip Code:02330-1748
Mailing Address - Country:US
Mailing Address - Phone:508-828-9675
Mailing Address - Fax:508-821-2519
Practice Address - Street 1:1 WASHINGTON STREET
Practice Address - Street 2:
Practice Address - City:TAUNTON
Practice Address - State:MA
Practice Address - Zip Code:02780
Practice Address - Country:US
Practice Address - Phone:508-828-9675
Practice Address - Fax:508-823-2519
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1737101YA0400X, 251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Not Answered251B00000XAgenciesCase Management