Basic Information
Provider Information
NPI: 1598744088
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SILAGY-WESSON
FirstName: PATRICIA
MiddleName: E
NamePrefix: MRS.
NameSuffix:  
Credential: MSW,LISW,ACSW
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 625 CLEVELAND AVE NW
Address2:  
City: CANTON
State: OH
PostalCode: 447021805
CountryCode: US
TelephoneNumber: 3304550374
FaxNumber: 3304552101
Practice Location
Address1: 1207 W STATE ST
Address2: SUITE M
City: ALLIANCE
State: OH
PostalCode: 446014686
CountryCode: US
TelephoneNumber: 3308218407
FaxNumber: 3308218506
Other Information
ProviderEnumerationDate: 01/12/2006
LastUpdateDate: 07/21/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: X
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
1041C0700XI0001300OHY Behavioral Health & Social Service ProvidersSocial WorkerClinical

No ID Information.


Home