Provider Demographics
NPI:1962876698
Name:DASILVA, ANDREIA (LCSW)
Entity type:Individual
Prefix:
First Name:ANDREIA
Middle Name:
Last Name:DASILVA
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 1:232 CLAREMONT AVE
Mailing Address - Street 2:APT 5
Mailing Address - City:MONTCLAIR
Mailing Address - State:NJ
Mailing Address - Zip Code:07042-2862
Mailing Address - Country:US
Mailing Address - Phone:973-699-2976
Mailing Address - Fax:
Practice Address - Street 1:232 CLAREMONT AVE
Practice Address - Street 2:APT 5
Practice Address - City:MONTCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042-2862
Practice Address - Country:US
Practice Address - Phone:973-699-2976
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-11-18
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ44SC052818001041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical