Healthcare Provider Details

I. General information

NPI: 1871412742
Provider Name (Legal Business Name): ALYSSA MICHELLE DURPETTI MSW, LCSWA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOORESVILLE RD
KANNAPOLIS NC
28081-0304
US

IV. Provider business mailing address

66203 SAWGRASS LN
CONCORD NC
28027-5440
US

V. Phone/Fax

Practice location:
  • Phone: 704-920-1000
  • Fax:
Mailing address:
  • Phone: 704-920-1000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberP023981
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: