Provider Demographics
NPI:1558186965
Name:SILVERMAN-HRUBES, JOELLE (LMSW)
Entity type:Individual
Prefix:
First Name:JOELLE
Middle Name:
Last Name:SILVERMAN-HRUBES
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:858 BOSTWICK RD APT 7
Mailing Address - Street 2:
Mailing Address - City:ITHACA
Mailing Address - State:NY
Mailing Address - Zip Code:14850-9369
Mailing Address - Country:US
Mailing Address - Phone:607-340-5263
Mailing Address - Fax:
Practice Address - Street 1:3226 WILKINS RD
Practice Address - Street 2:
Practice Address - City:ITHACA
Practice Address - State:NY
Practice Address - Zip Code:14850-9568
Practice Address - Country:US
Practice Address - Phone:607-272-5891
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-11-20
Last Update Date:2024-11-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY117599-01104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker