Provider Demographics
NPI:1760512867
Name:WOLCHOK, SILKALY M (PHD MSW LCSW ACSW BC)
Entity Type:Individual
Prefix:DR
First Name:SILKALY
Middle Name:M
Last Name:WOLCHOK
Suffix:
Gender:F
Credentials:PHD MSW LCSW ACSW BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20 MAMARONECK RD
Mailing Address - Street 2:
Mailing Address - City:SCARSDALE
Mailing Address - State:NY
Mailing Address - Zip Code:10583-2812
Mailing Address - Country:US
Mailing Address - Phone:914-723-1320
Mailing Address - Fax:
Practice Address - Street 1:20 MAMARONECK RD
Practice Address - Street 2:
Practice Address - City:SCARSDALE
Practice Address - State:NY
Practice Address - Zip Code:10583-2812
Practice Address - Country:US
Practice Address - Phone:914-723-1320
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYPR01236911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYN55751Medicare ID - Type Unspecified