Amy Kate Silvestro, LCSW- R

Individual provider Active NPI Clinical Social Worker · Port Ewen, NY

NPI 1801164397 · NPPES record last updated Dec 12, 2011

Key facts

NPI
1801164397
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
R-037349-1 (NY)
Practice address
319 Broadway
Port Ewen, NY 12466-5501
Phone
(845) 399-8707
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
Yes

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
R-037349-1NYMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X R-037349-1 NY Yes

Addresses

Primary practice location

319 Broadway
Port Ewen, NY 12466-5501

Mailing address

PO Box 1176
Port Ewen, NY 12466-1176
Phone (845) 399-8707

Other providers in Port Ewen, NY

All providers in Port Ewen, NY · Clinical Social Worker in New York

Sources for this page

Verify at the official NPI Registry.