Provider Demographics
NPI:1902550684
Name:SILVA, BRITNEY ANN MAKENA (MSW, ASW)
Entity Type:Individual
Prefix:
First Name:BRITNEY ANN MAKENA
Middle Name:
Last Name:SILVA
Suffix:
Gender:F
Credentials:MSW, ASW
Other - Prefix:
Other - First Name:MAKENA
Other - Middle Name:
Other - Last Name:SILVA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MSW, ASW
Mailing Address - Street 1:5725 MARTIN LUTHER KING JR WAY
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-1664
Mailing Address - Country:US
Mailing Address - Phone:510-634-3210
Mailing Address - Fax:
Practice Address - Street 1:160 CAPP ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94110-1210
Practice Address - Country:US
Practice Address - Phone:415-417-3500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAASW1055461041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical