Provider Demographics
NPI:1609280593
Name:SILVERSMITH, MEREDITH (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:MEREDITH
Middle Name:
Last Name:SILVERSMITH
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:243 NASSAU BLVD
Mailing Address - Street 2:
Mailing Address - City:GARDEN CITY
Mailing Address - State:NY
Mailing Address - Zip Code:11530-5532
Mailing Address - Country:US
Mailing Address - Phone:516-350-0975
Mailing Address - Fax:
Practice Address - Street 1:243 NASSAU BLVD
Practice Address - Street 2:
Practice Address - City:GARDEN CITY
Practice Address - State:NY
Practice Address - Zip Code:11530-5532
Practice Address - Country:US
Practice Address - Phone:516-350-0975
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-06-18
Last Update Date:2022-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY001043106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY285MD1OtherEMPIRE BLUE CROSS BLUE SHIELD