Provider Demographics
NPI:1932601804
Name:SILVERMAN, JILL A (LCSW)
Entity Type:Individual
Prefix:MS
First Name:JILL
Middle Name:A
Last Name:SILVERMAN
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 1:18 E 16TH ST RM 503
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003-3111
Mailing Address - Country:US
Mailing Address - Phone:212-219-9577
Mailing Address - Fax:
Practice Address - Street 1:18 E 16TH ST RM 503
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003-3111
Practice Address - Country:US
Practice Address - Phone:212-219-9577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-03-06
Last Update Date:2024-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY078189-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical