Healthcare Provider Details

I. General information

NPI: 1689753873
Provider Name (Legal Business Name): ELIZABETH ANN SINICROPI LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ELIZABETH ANN SINICROPI LICSW

II. Dates (important events)

Enumeration Date: 11/06/2006
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

462 BOSTON ST BUILDING C, SUITE 7
TOPSFIELD MA
01983-1200
US

IV. Provider business mailing address

9 LEDGEWOOD WAY APT 12
PEABODY MA
01960-1379
US

V. Phone/Fax

Practice location:
  • Phone: 978-587-6313
  • Fax:
Mailing address:
  • Phone: 978-587-6313
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number107255
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number074402
License Number StateNY

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: