Provider Demographics
NPI:1902261738
Name:SILVER, RENEE (LCSW, LSCSW, RPT, MS)
Entity Type:Individual
Prefix:
First Name:RENEE
Middle Name:
Last Name:SILVER
Suffix:
Gender:F
Credentials:LCSW, LSCSW, RPT, MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12222 BEVERLY ST
Mailing Address - Street 2:
Mailing Address - City:OVERLAND PARK
Mailing Address - State:KS
Mailing Address - Zip Code:66209-2700
Mailing Address - Country:US
Mailing Address - Phone:913-378-4411
Mailing Address - Fax:
Practice Address - Street 1:12222 BEVERLY ST
Practice Address - Street 2:
Practice Address - City:OVERLAND PARK
Practice Address - State:KS
Practice Address - Zip Code:66209-2700
Practice Address - Country:US
Practice Address - Phone:913-378-4411
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-12-21
Last Update Date:2015-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20120237931041C0700X
KS43031041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical