MEDICARE: CHARLES M. ALPERIN, LICSW, LLC

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
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1770288144
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CHARLES M. ALPERIN, LICSW, LLC

Provider Business Mailing Address
First Line	:	35 BEDFORD ST STE 1
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-4438
Country	:	US
Telephone Number	:	617-852-9567
Fax Number	:

Provider Business Practice Location Address
First Line	:	35 BEDFORD ST STE 1
Second Line	:
City	:	LEXINGTON
State	:	MA
Zip	:	02420-4438
Country	:	US
Telephone Number	:	617-852-9567
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. CHARLES M. ALPERIN
Credential	:	LICSW
Telephone Number	:	617-852-9567

Provider Enumeration Date	:	04/04/2023
Last Update Date	:	04/04/2023

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