Provider Demographics
NPI:1558345926
Name:SILVER, KELVIN MORRIS (LCPC, LCADC)
Entity Type:Individual
Prefix:
First Name:KELVIN
Middle Name:MORRIS
Last Name:SILVER
Suffix:
Gender:M
Credentials:LCPC, LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 RUXTON RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17403-3039
Mailing Address - Country:US
Mailing Address - Phone:410-952-4088
Mailing Address - Fax:
Practice Address - Street 1:18 S GEORGE ST STE 230
Practice Address - Street 2:
Practice Address - City:YORK
Practice Address - State:PA
Practice Address - Zip Code:17401-1400
Practice Address - Country:US
Practice Address - Phone:410-952-4088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-30
Last Update Date:2018-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA196101YA0400X
PC009656101YM0800X
MDLC2343101YM0800X, 101YP2500X
PAPC009656101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health