Provider Demographics
NPI:1063541290
Name:SILVER, ERICA (MSW)
Entity type:Individual
Prefix:
First Name:ERICA
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:184 PORTSMOUTH CIR
Mailing Address - Street 2:
Mailing Address - City:GLEN MILLS
Mailing Address - State:PA
Mailing Address - Zip Code:19342-2602
Mailing Address - Country:US
Mailing Address - Phone:610-399-0583
Mailing Address - Fax:610-566-7677
Practice Address - Street 1:600 N OLIVE ST
Practice Address - Street 2:
Practice Address - City:MEDIA
Practice Address - State:PA
Practice Address - Zip Code:19063-2418
Practice Address - Country:US
Practice Address - Phone:610-566-7540
Practice Address - Fax:610-566-7677
Is Sole Proprietor?:No
Enumeration Date:2007-03-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PASW012242L104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
PASW012242LOtherSOCIAL WORK LICENSE