Provider Demographics
NPI:1154172047
Name:SILVA, ALEXANDER GIROEL
Entity type:Individual
Prefix:
First Name:ALEXANDER
Middle Name:GIROEL
Last Name:SILVA
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 RUSSELL RD APT 3B
Mailing Address - Street 2:
Mailing Address - City:WESTFIELD
Mailing Address - State:MA
Mailing Address - Zip Code:01085-2167
Mailing Address - Country:US
Mailing Address - Phone:413-530-9334
Mailing Address - Fax:
Practice Address - Street 1:549 RUSSELL RD APT 3B
Practice Address - Street 2:
Practice Address - City:WESTFIELD
Practice Address - State:MA
Practice Address - Zip Code:01085-2167
Practice Address - Country:US
Practice Address - Phone:413-530-9334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-28
Last Update Date:2024-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2274491041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical