Provider Demographics
NPI:1811772734
Name:SILVA-JEFFRIES, WINNIE D (SWLC)
Entity type:Individual
Prefix:MRS
First Name:WINNIE
Middle Name:D
Last Name:SILVA-JEFFRIES
Suffix:
Gender:F
Credentials:SWLC
Other - Prefix:
Other - First Name:WINNIE
Other - Middle Name:
Other - Last Name:SILVA DIAS DOS SANTOS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:5529 EASTSIDE HWY
Mailing Address - Street 2:
Mailing Address - City:STEVENSVILLE
Mailing Address - State:MT
Mailing Address - Zip Code:59870-6241
Mailing Address - Country:US
Mailing Address - Phone:406-240-5648
Mailing Address - Fax:
Practice Address - Street 1:316 N 3RD ST
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:MT
Practice Address - Zip Code:59840-2480
Practice Address - Country:US
Practice Address - Phone:406-541-0032
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-SWLC-LIC-64277104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker