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NPI Code Detail

MEDICARE: MS. MEREDYTH IRENE ALPERT LCSW

MEDICARE: MS. MEREDYTH IRENE ALPERT LCSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social WorkerLCS19672CA

General Provider Information

NPI Number : 1154401024
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEREDYTH IRENE ALPERT LCSW
Provider Business Mailing Address
First Line : 3932 SAN MARCOS CT
Second Line :
City : NEWBURY PARK
State : CA
Zip : 91320-3726
Country : US
Telephone Number : 805-338-8791
Fax Number :
Provider Business Practice Location Address
First Line : 1911 WILLIAMS DR
Second Line : C/O OXNARD OPTIONS
City : OXNARD
State : CA
Zip : 93036-2612
Country : US
Telephone Number : 805-981-9264
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/16/2006
Last Update Date : 07/08/2007

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