Provider Demographics
NPI:1831708478
Name:SILER, MARK (MSW, MPS, LCSWA)
Entity type:Individual
Prefix:
First Name:MARK
Middle Name:
Last Name:SILER
Suffix:
Gender:M
Credentials:MSW, MPS, LCSWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:253 JONES COVE RD
Mailing Address - Street 2:
Mailing Address - City:ASHEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28805-8700
Mailing Address - Country:US
Mailing Address - Phone:828-575-3930
Mailing Address - Fax:
Practice Address - Street 1:27 CHURCH ST
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-3303
Practice Address - Country:US
Practice Address - Phone:828-575-3930
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2020-07-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP0143361041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical