Healthcare Provider Details

I. General information

NPI: 1386190130
Provider Name (Legal Business Name): REBECCA ZAFRAN LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/31/2016
Last Update Date: 02/25/2025
Certification Date: 02/25/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12 ALFRED ST STE 200
WOBURN MA
01801-1915
US

IV. Provider business mailing address

12 ALFRED ST STE 200
WOBURN MA
01801-1915
US

V. Phone/Fax

Practice location:
  • Phone: 781-646-0500
  • Fax:
Mailing address:
  • Phone: 781-646-0500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number000122386
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: