Provider Demographics
NPI:1942535174
Name:SILVA, KATHRYN JOANNE MORIN (LCSW)
Entity Type:Individual
Prefix:MRS
First Name:KATHRYN
Middle Name:JOANNE MORIN
Last Name:SILVA
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:MS
Other - First Name:JO
Other - Middle Name:MORIN
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW
Mailing Address - Street 1:P.O. BOX 80711
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-0711
Mailing Address - Country:US
Mailing Address - Phone:949-350-5320
Mailing Address - Fax:
Practice Address - Street 1:24441 HEALTH CENTER DRIVE
Practice Address - Street 2:SUITE 680
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653
Practice Address - Country:US
Practice Address - Phone:949-350-5320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-06
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCS23541104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker