Provider Demographics
NPI:1740405844
Name:SILVERMAN, TIMOTHY MARX (LCSW)
Entity type:Individual
Prefix:MR
First Name:TIMOTHY
Middle Name:MARX
Last Name:SILVERMAN
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:255 W END AVE
Mailing Address - Street 2:APT. 6B
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10023-3605
Mailing Address - Country:US
Mailing Address - Phone:212-873-1094
Mailing Address - Fax:
Practice Address - Street 1:3010 BRIGGS AVE
Practice Address - Street 2:MONTEFIORE SCHOOL HEALTH CLINIC
Practice Address - City:BRONX
Practice Address - State:NY
Practice Address - Zip Code:10458-1606
Practice Address - Country:US
Practice Address - Phone:718-563-5263
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-04-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY730754181041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical