Provider Demographics
NPI:1780057307
Name:SILVERS, SHERRY (LCSW)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:
Last Name:SILVERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:300 W ADAMS ST
Mailing Address - Street 2:SUITE 514
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60606-5101
Mailing Address - Country:US
Mailing Address - Phone:312-578-9990
Mailing Address - Fax:312-578-9004
Practice Address - Street 1:300 W ADAMS ST
Practice Address - Street 2:SUITE 514
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60606-5101
Practice Address - Country:US
Practice Address - Phone:312-578-9990
Practice Address - Fax:312-578-9004
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-04
Last Update Date:2016-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0174471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical