Provider Demographics
NPI:1629091756
Name:SILVERMAN, DANIEL (LCSW, C-ACYFSW)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:LCSW, C-ACYFSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:532 BRETTS WAY
Mailing Address - Street 2:
Mailing Address - City:WHITESBORO
Mailing Address - State:NY
Mailing Address - Zip Code:13492-3210
Mailing Address - Country:US
Mailing Address - Phone:315-717-7080
Mailing Address - Fax:
Practice Address - Street 1:310 E CHESTNUT ST
Practice Address - Street 2:SUITE NUMBER 9
Practice Address - City:ROME
Practice Address - State:NY
Practice Address - Zip Code:13440-3660
Practice Address - Country:US
Practice Address - Phone:315-717-7080
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2010-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR049489-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical