Provider Demographics
NPI:1619669702
Name:SILVERIA, LAUREN C (LICSW)
Entity Type:Individual
Prefix:
First Name:LAUREN
Middle Name:C
Last Name:SILVERIA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:58 FLANAGAN RD # 1
Mailing Address - Street 2:
Mailing Address - City:PORTSMOUTH
Mailing Address - State:RI
Mailing Address - Zip Code:02871-1072
Mailing Address - Country:US
Mailing Address - Phone:401-662-3472
Mailing Address - Fax:
Practice Address - Street 1:58 FLANAGAN RD # 1
Practice Address - Street 2:
Practice Address - City:PORTSMOUTH
Practice Address - State:RI
Practice Address - Zip Code:02871-1072
Practice Address - Country:US
Practice Address - Phone:401-662-3472
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-05-25
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RIISW037081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical