Ian Sill, MSS, LSW

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

SW132599 Issued in PA

Practice address

525 S 4TH St Ste 243
Philadelphia, PA 19147-1573

Phone

(215) 925-3153

NPI assigned

Aug 25, 2014

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1255731436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "919 CARPENTER ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191473805",
            "telephone_number": "856-745-8632"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "525 S 4TH ST STE 243",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191471573",
            "telephone_number": "215-925-3153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "837 Wilder St",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191475713",
            "country_code": "US",
            "telephone_number": "856-745-8632",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SILL",
        "first_name": "IAN",
        "credential": "MSS, LSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-08-25",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "PA",
            "license": "SW132599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John J Siliquini Jr., M.D.
• Silk Clinic PC
• Natalie Alexis Silk, DO
• Philip E Silkoff, MD
• Silkopulence LLC
• Musa Sillah, RN
• Sydney Brianna Sillart, MD
• Laura C Sillers, M.D.
• Tiffany Rei Silliman Cohen, LMT
• Amanda M Sillman, DPT

• Addiction (Substance Use Disorder) Counselor in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Addiction (Substance Use Disorder) Counselor in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.