Individual provider Active NPI

Stachakay Renee Silvera

  • Clinical Social Worker
  • Providence, RI
National Provider Identifier
1487564639
Registry record updated Sep 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW04446 Issued in RI
Practice address
1000 Smith St
Providence, RI 02908-2729
Phone
(401) 808-6013
Fax
(401) 270-5322
NPI assigned
Sep 10, 2026
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X CSW04446 RI Primary

Addresses

Primary practice location

1000 Smith St
Providence, RI 02908-2729

Mailing address

67 Cameron St
Pawtucket, RI 02861-1713
Phone (347) 614-8893

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1788998400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788998400000",
    "number": "1487564639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "67 CAMERON ST",
            "city": "PAWTUCKET",
            "state": "RI",
            "postal_code": "028611713",
            "telephone_number": "347-614-8893",
            "fax_number": "401-270-5322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 SMITH ST",
            "city": "PROVIDENCE",
            "state": "RI",
            "postal_code": "029082729",
            "telephone_number": "401-808-6013",
            "fax_number": "401-270-5322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVERA",
        "first_name": "STACHAKAY",
        "middle_name": "RENEE",
        "name_prefix": "Miss",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2026-09-10",
        "last_updated": "2026-09-10",
        "certification_date": "2026-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "RI",
            "license": "CSW04446",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Providence, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.