Provider Demographics
NPI:1942392279
Name:SILVER, ELLEN J (LCSW)
Entity Type:Individual
Prefix:
First Name:ELLEN
Middle Name:J
Last Name:SILVER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 RAVENSBROOK CT
Mailing Address - Street 2:
Mailing Address - City:GETZVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:14068-1340
Mailing Address - Country:US
Mailing Address - Phone:716-689-9545
Mailing Address - Fax:716-677-4240
Practice Address - Street 1:3802 SENECA ST
Practice Address - Street 2:
Practice Address - City:WEST SENECA
Practice Address - State:NY
Practice Address - Zip Code:14224-3433
Practice Address - Country:US
Practice Address - Phone:716-677-5418
Practice Address - Fax:716-677-4240
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-28
Last Update Date:2022-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR033763-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY00020510001OtherUNIVERA HEALTHCARE
NY000528358005OtherBC/BS OF WNY
NY6290103OtherIHA
NY6290103OtherIHA