Provider Demographics
NPI:1487027405
Name:SYLVIA, STEVEN ALBERT (LCSW)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:ALBERT
Last Name:SYLVIA
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:406 THOUSAND OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:DAVENPORT
Mailing Address - State:FL
Mailing Address - Zip Code:33896-8125
Mailing Address - Country:US
Mailing Address - Phone:845-206-3638
Mailing Address - Fax:
Practice Address - Street 1:406 THOUSAND OAKS BLVD
Practice Address - Street 2:
Practice Address - City:DAVENPORT
Practice Address - State:FL
Practice Address - Zip Code:33896-8125
Practice Address - Country:US
Practice Address - Phone:845-206-3638
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW131881041C0700X, 103K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical