Provider Demographics
NPI:1780949180
Name:SILVER HEWITT, COBI ANNIE (DBH, MSW, LCSW)
Entity type:Individual
Prefix:DR
First Name:COBI
Middle Name:ANNIE
Last Name:SILVER HEWITT
Suffix:
Gender:F
Credentials:DBH, MSW, LCSW
Other - Prefix:DR
Other - First Name:COBI
Other - Middle Name:ANNIE
Other - Last Name:SILVER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DBH, MSW, LCSW
Mailing Address - Street 1:1401 N 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:STAYTON
Mailing Address - State:OR
Mailing Address - Zip Code:97383
Mailing Address - Country:US
Mailing Address - Phone:503-769-2175
Mailing Address - Fax:503-769-5877
Practice Address - Street 1:205 MAIN ST
Practice Address - Street 2:
Practice Address - City:AUMSVILLE
Practice Address - State:OR
Practice Address - Zip Code:97325
Practice Address - Country:US
Practice Address - Phone:503-749-4734
Practice Address - Fax:503-769-5877
Is Sole Proprietor?:No
Enumeration Date:2012-07-11
Last Update Date:2019-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101Y00000X
WASC604868951041C0700X
ORL79741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor