Healthcare Provider Details

I. General information

NPI: 1801204268
Provider Name (Legal Business Name): SHER THAPA MSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/30/2014
Last Update Date: 07/30/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

237 HIGHLAND AVE
NEEDHAM MA
02494-3036
US

IV. Provider business mailing address

17 BRADLEY RD
BELMONT MA
02478-2425
US

V. Phone/Fax

Practice location:
  • Phone: 781-433-0672
  • Fax: 781-444-3971
Mailing address:
  • Phone: 617-932-9782
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: