Provider Demographics
NPI:1649883232
Name:STEELE, SILKA GRACIELA
Entity type:Individual
Prefix:
First Name:SILKA
Middle Name:GRACIELA
Last Name:STEELE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 EVERETT ST APT 2135
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23224-0015
Mailing Address - Country:US
Mailing Address - Phone:718-986-4469
Mailing Address - Fax:
Practice Address - Street 1:700 EVERETT ST APT 2135
Practice Address - Street 2:
Practice Address - City:RICHMOND
Practice Address - State:VA
Practice Address - Zip Code:23224-0015
Practice Address - Country:US
Practice Address - Phone:718-986-4469
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-08-25
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA09040122361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical