Provider Demographics
NPI:1740557487
Name:SILVER, RUTH (LCSW RN)
Entity type:Individual
Prefix:MRS
First Name:RUTH
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:LCSW RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 WALDECK CT
Mailing Address - Street 2:
Mailing Address - City:WEST ORANGE
Mailing Address - State:NJ
Mailing Address - Zip Code:07052-2984
Mailing Address - Country:US
Mailing Address - Phone:973-731-5342
Mailing Address - Fax:973-373-4199
Practice Address - Street 1:860 GROVE ST
Practice Address - Street 2:
Practice Address - City:IRVINGTON
Practice Address - State:NJ
Practice Address - Zip Code:07111-3601
Practice Address - Country:US
Practice Address - Phone:973-373-0499
Practice Address - Fax:973-373-4199
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-23
Last Update Date:2011-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SCO46778001041C0700X
NJ26NO07112500163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No163W00000XNursing Service ProvidersRegistered Nurse