Provider Demographics
NPI:1891265922
Name:SILVA, RICHARD (MSW)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:
Last Name:SILVA
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:0 BIRCHWOOD TER
Mailing Address - Street 2:
Mailing Address - City:GROVELAND
Mailing Address - State:MA
Mailing Address - Zip Code:01834-1606
Mailing Address - Country:US
Mailing Address - Phone:617-538-8078
Mailing Address - Fax:978-560-0048
Practice Address - Street 1:0 BIRCHWOOD TER
Practice Address - Street 2:
Practice Address - City:GROVELAND
Practice Address - State:MA
Practice Address - Zip Code:01834-1606
Practice Address - Country:US
Practice Address - Phone:617-538-8078
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-02
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1069051041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical