Provider Demographics
NPI:1154973105
Name:SILVERSTEIN, BOB P (MA, LCSW)
Entity type:Individual
Prefix:MR
First Name:BOB
Middle Name:P
Last Name:SILVERSTEIN
Suffix:
Gender:M
Credentials:MA, LCSW
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Mailing Address - Street 1:300 MERCER ST., #11E, BOB P. SILVERSTEIN, LCSW
Mailing Address - Street 2:
Mailing Address - City:NEW YORK
Mailing Address - State:NY
Mailing Address - Zip Code:10003
Mailing Address - Country:US
Mailing Address - Phone:212-989-8647
Mailing Address - Fax:
Practice Address - Street 1:300 MERCER ST., #11E, BOB P. SILVERSTEIN, LCSW
Practice Address - Street 2:
Practice Address - City:NEW YORK
Practice Address - State:NY
Practice Address - Zip Code:10003
Practice Address - Country:US
Practice Address - Phone:212-989-8647
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-10
Last Update Date:2019-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NYR025400-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical