Provider Demographics
NPI:1942783592
Name:SILVER, ALEXIS JENNIFER (LICSW)
Entity Type:Individual
Prefix:
First Name:ALEXIS
Middle Name:JENNIFER
Last Name:SILVER
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4003 BROMPTON CIR
Mailing Address - Street 2:
Mailing Address - City:WORCESTER
Mailing Address - State:MA
Mailing Address - Zip Code:01609-1160
Mailing Address - Country:US
Mailing Address - Phone:617-216-6902
Mailing Address - Fax:
Practice Address - Street 1:4003 BROMPTON CIR
Practice Address - Street 2:
Practice Address - City:WORCESTER
Practice Address - State:MA
Practice Address - Zip Code:01609-1160
Practice Address - Country:US
Practice Address - Phone:617-216-6902
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-10
Last Update Date:2018-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker