Provider Demographics
NPI:1467161323
Name:SILVA, ELIZABETH INEZ (LMSW, LSWAIC)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:INEZ
Last Name:SILVA
Suffix:
Gender:F
Credentials:LMSW, LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:435 W BELL ST STE B
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-2916
Mailing Address - Country:US
Mailing Address - Phone:365-207-4345
Mailing Address - Fax:360-362-8202
Practice Address - Street 1:435 W BELL ST STE B
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-2916
Practice Address - Country:US
Practice Address - Phone:365-207-4345
Practice Address - Fax:360-362-8202
Is Sole Proprietor?:No
Enumeration Date:2022-11-21
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX56773104100000X
WASC61256480104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker