Provider Demographics
NPI:1659892560
Name:SILVUS, SHARON K (LISW-S, LICDC)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:K
Last Name:SILVUS
Suffix:
Gender:F
Credentials:LISW-S, LICDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:240 MAIN ST
Mailing Address - Street 2:
Mailing Address - City:DUNCAN FALLS
Mailing Address - State:OH
Mailing Address - Zip Code:43734-9759
Mailing Address - Country:US
Mailing Address - Phone:740-617-6995
Mailing Address - Fax:
Practice Address - Street 1:3405 DILLON ACRES DR
Practice Address - Street 2:
Practice Address - City:ZANESVILLE
Practice Address - State:OH
Practice Address - Zip Code:43701-9658
Practice Address - Country:US
Practice Address - Phone:740-455-4132
Practice Address - Fax:740-455-5322
Is Sole Proprietor?:No
Enumeration Date:2017-06-30
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHI.17005601041C0700X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0242360Medicaid