1538244934 NPI number — MS. SHARON ZYNC ALPER ACSW LICSW

Table of content: MS. SHARON ZYNC ALPER ACSW LICSW (NPI 1538244934)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1538244934 NPI number — MS. SHARON ZYNC ALPER ACSW LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ALPER
Provider First Name:
SHARON
Provider Middle Name:
ZYNC
Provider Name Prefix Text:
MS.
Provider Name Suffix Text:
Provider Credential Text:
ACSW LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
ALPER
Provider Other First Name:
SHERRI
Provider Other Middle Name:
ZYNC
Provider Other Name Prefix Text:
MS.
Provider Other Name Suffix Text:
Provider Other Credential Text:
ACSW LICSW
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1538244934
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
08/17/2017
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
976 BOWEN HILL RD
Provider Second Line Business Mailing Address:
S ALPER THE SPICER CENTER
Provider Business Mailing Address City Name:
EAST DORSET
Provider Business Mailing Address State Name:
VT
Provider Business Mailing Address Postal Code:
05253
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
802-362-0994
Provider Business Mailing Address Fax Number:
802-362-1867

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
113 SCHOOL ST
Provider Second Line Business Practice Location Address:
THE SPICER CENTER
Provider Business Practice Location Address City Name:
MANCHESTER CENTER
Provider Business Practice Location Address State Name:
VT
Provider Business Practice Location Address Postal Code:
05255
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
802-362-0994
Provider Business Practice Location Address Fax Number:
802-362-1867
Provider Enumeration Date:
10/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 103T00000X , with the licence number:  VT890000268 , registered in the state of VT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 0VN0266 , issued by the state of ( VT ) . This identifiers is of the category "MEDICAID".
  • Identifier: T002879 . This is a "CHAMPUS" identifier . This identifiers is of the category "OTHER".
  • Identifier: 13235600 . This is a "MAGELLAN" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".
  • Identifier: 18111 . This is a "BC BS" identifier , issued by the state of ( VT ) . This identifiers is of the category "OTHER".




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