Provider Demographics
NPI:1316530397
Name:SILBERMAN, AMY J (LCSW)
Entity type:Individual
Prefix:
First Name:AMY
Middle Name:J
Last Name:SILBERMAN
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 1:7025 YELLOWSTONE BLVD APT 7Y
Mailing Address - Street 2:
Mailing Address - City:FOREST HILLS
Mailing Address - State:NY
Mailing Address - Zip Code:11375-3169
Mailing Address - Country:US
Mailing Address - Phone:917-757-7430
Mailing Address - Fax:
Practice Address - Street 1:7025 YELLOWSTONE BLVD APT 7Y
Practice Address - Street 2:
Practice Address - City:FOREST HILLS
Practice Address - State:NY
Practice Address - Zip Code:11375-3169
Practice Address - Country:US
Practice Address - Phone:917-757-7430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY074163-11041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical