Active NPI
Judith L Silvan, MSW LICSW
- Clinical Social Worker
- Cambridge, MA
National Provider Identifier
1013084458
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- MA1015412
- Practice address
- 49 Hancock St
Suite 101
Cambridge, MA 02139 - Phone
- (617) 576-3095
- NPI assigned
- Nov 29, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | MA1015412 | MA | Primary |
Addresses
Primary practice location
49 Hancock St
Suite 101
Cambridge, MA 02139
Mailing address
66 Reed St
CT #1
Cambridge, MA 02140
Phone (617) 576-3095
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 514777 | Other | MA | PHCS |
| P04979 | Other | MA | BCBS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MA1015412 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164758400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1013084458",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "66 REED ST",
"address_2": "CT #1",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02140",
"telephone_number": "617-576-3095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "49 HANCOCK ST",
"address_2": "SUITE 101",
"city": "CAMBRIDGE",
"state": "MA",
"postal_code": "02139",
"telephone_number": "617-576-3095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SILVAN",
"first_name": "JUDITH",
"middle_name": "L",
"name_prefix": "Ms.",
"credential": "MSW LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-29",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "MA1015412",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHCS",
"identifier": "514777",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "P04979",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cambridge, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.