Provider Demographics
NPI:1922402973
Name:SILVA, RITA DE CASSIA (PHD, LCSW)
Entity Type:Individual
Prefix:
First Name:RITA DE CASSIA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3469 DOCKSIDER DR N
Mailing Address - Street 2:
Mailing Address - City:JACKSONVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32257-6329
Mailing Address - Country:US
Mailing Address - Phone:818-304-5452
Mailing Address - Fax:818-936-0702
Practice Address - Street 1:3469 DOCKSIDER DR N
Practice Address - Street 2:
Practice Address - City:JACKSONVILLE
Practice Address - State:FL
Practice Address - Zip Code:32257-6329
Practice Address - Country:US
Practice Address - Phone:818-305-5452
Practice Address - Fax:818-936-0702
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-20
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA887391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical