Individual provider Active NPI

Marcio Sanches Da Silva, LSW, LCADC

  • Addiction (Substance Use Disorder) Counselor
  • Elizabeth, NJ
National Provider Identifier
1821646340
Registry record updated Aug 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
37LC00297100 Issued in NJ
Practice address
25 Broad St FL 2
Elizabeth, NJ 07201-2201
Phone
(908) 906-7559
NPI assigned
Aug 28, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Social Worker 104100000X 44SL06461900 NJ
School Social Worker 1041S0200X 1024881 NJ
Addiction (Substance Use Disorder) Counselor 101YA0400X 37LC00297100 NJ Primary

Addresses

Primary practice location

25 Broad St FL 2
Elizabeth, NJ 07201-2201

Mailing address

220 W Jersey St Apt 12E
Elizabeth, NJ 07202-1309
Phone (973) 634-6462

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Direct Direct

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
37LC00297100NJMDAddiction (Substance Use Disorder) Counselor
44SL06461900NJMDSocial Worker
1024881NJMDSchool Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566950400000",
    "number": "1821646340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "220 W JERSEY ST APT 12E",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072021309",
            "telephone_number": "973-634-6462"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 BROAD ST FL 2",
            "city": "ELIZABETH",
            "state": "NJ",
            "postal_code": "072012201",
            "telephone_number": "908-906-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SANCHES DA SILVA",
        "first_name": "MARCIO",
        "credential": "LSW, LCADC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2019-08-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NJ",
            "license": "44SL06461900",
            "primary": false
        },
        {
            "code": "1041S0200X",
            "taxonomy_group": "",
            "desc": "Social Worker, School",
            "state": "NJ",
            "license": "1024881",
            "primary": false
        },
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "NJ",
            "license": "37LC00297100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Direct",
            "affiliation": "N",
            "endpointDescription": "CSV",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "25 Broad St Fl 2",
            "city": "Elizabeth",
            "state": "NJ",
            "country_code": "US",
            "postal_code": "072012201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Elizabeth, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2019; 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.