Provider Demographics
NPI:1609356609
Name:SILVERIA, RAY E (LCSW)
Entity Type:Individual
Prefix:MR
First Name:RAY
Middle Name:E
Last Name:SILVERIA
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 1:48 N PLEASANT ST STE 207
Mailing Address - Street 2:
Mailing Address - City:AMHERST
Mailing Address - State:MA
Mailing Address - Zip Code:01002-1741
Mailing Address - Country:US
Mailing Address - Phone:413-461-4042
Mailing Address - Fax:413-726-6001
Practice Address - Street 1:48 N PLEASANT ST STE 207
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:MA
Practice Address - Zip Code:01002-1741
Practice Address - Country:US
Practice Address - Phone:413-461-4042
Practice Address - Fax:413-726-6001
Is Sole Proprietor?:No
Enumeration Date:2018-08-19
Last Update Date:2020-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225713104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker