Provider Demographics
NPI:1285758730
Name:LAWRENCE A SILVER LCSW PA
Entity type:Organization
Organization Name:LAWRENCE A SILVER LCSW PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:LAWRENCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:SILVER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW
Authorized Official - Phone:727-232-0735
Mailing Address - Street 1:1815HEALTH CARE DR
Mailing Address - Street 2:
Mailing Address - City:TRINITY
Mailing Address - State:FL
Mailing Address - Zip Code:34655-5363
Mailing Address - Country:US
Mailing Address - Phone:727-232-0735
Mailing Address - Fax:727-232-1824
Practice Address - Street 1:1815 HEALTH CARE DR
Practice Address - Street 2:
Practice Address - City:TRINITY
Practice Address - State:FL
Practice Address - Zip Code:34655-5363
Practice Address - Country:US
Practice Address - Phone:727-232-0735
Practice Address - Fax:727-232-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-19
Last Update Date:2009-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW58371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
K8007Medicare PIN