Provider Demographics
NPI:1134421662
Name:SILVER, PATRICIA YANETH (LMSW)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:YANETH
Last Name:SILVER
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:MELENDEZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:333 AVENUE X
Mailing Address - Street 2:
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11223-5960
Mailing Address - Country:US
Mailing Address - Phone:718-339-5300
Mailing Address - Fax:
Practice Address - Street 1:333 AVENUE X
Practice Address - Street 2:
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11223-5960
Practice Address - Country:US
Practice Address - Phone:718-339-5300
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-12-05
Last Update Date:2011-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY082425104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker