Provider Demographics
NPI:1558457820
Name:SILVER, DORIT (MSW)
Entity Type:Individual
Prefix:MRS
First Name:DORIT
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4073 WINTERSET LN
Mailing Address - Street 2:
Mailing Address - City:WEST BLOOMFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48323-3154
Mailing Address - Country:US
Mailing Address - Phone:248-546-6432
Mailing Address - Fax:248-546-8070
Practice Address - Street 1:4073 WINTERSET LN
Practice Address - Street 2:
Practice Address - City:WEST BLOOMFIELD
Practice Address - State:MI
Practice Address - Zip Code:48323-3154
Practice Address - Country:US
Practice Address - Phone:248-213-6585
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-05
Last Update Date:2020-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI68010594341041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI8008926250OtherBLUE CROSS BLUE SHIELD
MI8008926250OtherBLUE CROSS BLUE SHIELD