Individual provider Active NPI

Matthew David Silvia, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1619011590
Registry record updated Mar 10, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
113435 Issued in MA
Practice address
185 Devonshire St
Ste 902
Boston, MA 02110-1413
Phone
(617) 646-9819
NPI assigned
Feb 16, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 10, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 113435 MA Primary

Addresses

Primary practice location

185 Devonshire St
Ste 902
Boston, MA 02110-1413

Mailing address

185 Devonshire St
Ste 902
Boston, MA 02110-1413
Phone (617) 646-9819

Other names 1

  • Mr. Matthew David Silvia-Perkins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130403000065 MA Practitioner - Clinical Social Worker 6608011291 Practice locations: Boston, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

82 Marlborough St
Boston, MA 02116-2020
Phone (617) 646-9819

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171584000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1489104000000",
    "number": "1619011590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST",
            "address_2": "STE 902",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101413",
            "telephone_number": "617-646-9819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "185 DEVONSHIRE ST",
            "address_2": "STE 902",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021101413",
            "telephone_number": "617-646-9819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVIA",
        "first_name": "MATTHEW",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-16",
        "last_updated": "2017-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113435",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MATTHEW",
            "last_name": "SILVIA-PERKINS",
            "middle_name": "DAVID",
            "prefix": "MR.",
            "credential": "LICSW",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.