Provider Demographics
NPI:1295546414
Name:CONNER, MARY SILVIO (MSW, PPSC)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:SILVIO
Last Name:CONNER
Suffix:
Gender:F
Credentials:MSW, PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1452
Mailing Address - Street 2:
Mailing Address - City:LAKE ISABELLA
Mailing Address - State:CA
Mailing Address - Zip Code:93240-1452
Mailing Address - Country:US
Mailing Address - Phone:760-379-0997
Mailing Address - Fax:
Practice Address - Street 1:6401 FAY RANCH RD
Practice Address - Street 2:
Practice Address - City:WELDON
Practice Address - State:CA
Practice Address - Zip Code:93283-9735
Practice Address - Country:US
Practice Address - Phone:760-378-2211
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-16
Last Update Date:2025-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchool