Individual provider Active NPI

Anne W. Silber, LCSW,JD

  • Clinical Social Worker
  • Davis, CA
National Provider Identifier
1629223391
Registry record updated Jun 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LCS16119 Issued in CA
Practice address
809 Chestnut LN
Davis, CA 95616-2410
Phone
(530) 376-7902
NPI assigned
Nov 22, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 115642 TX
Clinical Social Worker 1041C0700X LCS16119 CA Primary

Addresses

Primary practice location

809 Chestnut LN
Davis, CA 95616-2410

Mailing address

809 Chestnut LN
Davis, CA 95616-2410
Phone (530) 376-7902

Other names 1

  • Anne M. Widerstrom Professional name

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
Credentials
Juris Doctor

State licenses

LicenseStateTypeSpecialty
LCS16119CAMDClinical Social Worker
16119CAMDPhysician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1227312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782086400000",
    "number": "1629223391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "809 CHESTNUT LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162410",
            "telephone_number": "530-376-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 CHESTNUT LN",
            "city": "DAVIS",
            "state": "CA",
            "postal_code": "956162410",
            "telephone_number": "530-376-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILBER",
        "first_name": "ANNE",
        "middle_name": "W.",
        "credential": "LCSW,JD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-11-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "TX",
            "license": "115642",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "LCS16119",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNE",
            "last_name": "WIDERSTROM",
            "middle_name": "M.",
            "credential": "LCSW, JD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Davis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2026; 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.