Provider Demographics
NPI:1629223391
Name:SILBER, ANNE W (LCSW,JD)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:W
Last Name:SILBER
Suffix:
Gender:F
Credentials:LCSW,JD
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:M
Other - Last Name:WIDERSTROM
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW, JD
Mailing Address - Street 1:6536 TELEGRAPH AVENUE
Mailing Address - Street 2:SUITE C-103
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1172
Mailing Address - Country:US
Mailing Address - Phone:510-601-7526
Mailing Address - Fax:
Practice Address - Street 1:6536 TELEGRAPH AVENUE
Practice Address - Street 2:SUITE C-103
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-1172
Practice Address - Country:US
Practice Address - Phone:510-601-7526
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-22
Last Update Date:2015-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS161191041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical