Individual provider Active NPI

Rita de Cassia Silva, PH.D., LCSW

  • Clinical Social Worker
  • Jacksonville, FL
National Provider Identifier
1922402973
Registry record updated Mar 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
88739 Issued in CA
Practice address
3469 Docksider Dr N
Jacksonville, FL 32257-6329
Phone
(818) 305-5452
Fax
(818) 936-0702
NPI assigned
Oct 20, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2024

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 88739 CA Primary

Addresses

Primary practice location

3469 Docksider Dr N
Jacksonville, FL 32257-6329

Mailing address

3469 Docksider Dr N
Jacksonville, FL 32257-6329
Phone (818) 304-5452

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CA, FL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20190813000469 CA Practitioner - Clinical Social Worker 1153654165 Practice locations: Winnetka, CA
I20210416000099 FL Practitioner - Clinical Social Worker 1153654165 Practice locations: Coral Gables, FL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Arts, Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
88739CAMDClinical Social Worker

NPI Registry JSON

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

{
    "created_epoch": "1413763200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1711584000000",
    "number": "1922402973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3469 DOCKSIDER DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576329",
            "telephone_number": "818-304-5452",
            "fax_number": "818-936-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3469 DOCKSIDER DR N",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322576329",
            "telephone_number": "818-305-5452",
            "fax_number": "818-936-0702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILVA",
        "first_name": "RITA DE CASSIA",
        "credential": "PH.D., LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-20",
        "last_updated": "2024-03-28",
        "certification_date": "2024-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "CA",
            "license": "88739",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.