Provider Demographics
NPI:1811377500
Name:KELVIN SILVER & ASSOCIATES, LLC
Entity Type:Organization
Organization Name:KELVIN SILVER & ASSOCIATES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT, CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:KELVIN
Authorized Official - Middle Name:M
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:LCPC, LCADC, CRC,
Authorized Official - Phone:410-952-4088
Mailing Address - Street 1:2115 N CHARLES ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-5760
Mailing Address - Country:US
Mailing Address - Phone:410-952-4088
Mailing Address - Fax:
Practice Address - Street 1:2115 N CHARLES ST
Practice Address - Street 2:SUITE 301
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-5760
Practice Address - Country:US
Practice Address - Phone:410-952-4088
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-06-08
Last Update Date:2015-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA196101YA0400X
MDLC2343101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD813299Medicaid
MD665837Medicaid