Provider Demographics
NPI:1790207058
Name:SILVA, ALBERT ANTHONY (LCSW LCDP)
Entity Type:Individual
Prefix:MR
First Name:ALBERT
Middle Name:ANTHONY
Last Name:SILVA
Suffix:
Gender:M
Credentials:LCSW LCDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:750 EAST AVE
Mailing Address - Street 2:
Mailing Address - City:PAWTUCKET
Mailing Address - State:RI
Mailing Address - Zip Code:02860-6245
Mailing Address - Country:US
Mailing Address - Phone:401-219-2232
Mailing Address - Fax:401-349-3531
Practice Address - Street 1:750 EAST AVE
Practice Address - Street 2:
Practice Address - City:PAWTUCKET
Practice Address - State:RI
Practice Address - Zip Code:02860-6245
Practice Address - Country:US
Practice Address - Phone:401-219-2232
Practice Address - Fax:401-349-3531
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-07
Last Update Date:2023-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RICDP00695101YA0400X
CSW028551041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)