Provider Demographics
NPI:1659158376
Name:PEREIRA DA SILVA, MERCIA
Entity Type:Individual
Prefix:
First Name:MERCIA
Middle Name:
Last Name:PEREIRA DA SILVA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 PINE ST APT 2
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2623
Mailing Address - Country:US
Mailing Address - Phone:781-866-6867
Mailing Address - Fax:
Practice Address - Street 1:67 PINE ST APT 2
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180-2623
Practice Address - Country:US
Practice Address - Phone:781-866-6867
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-09-14
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker