MEDICARE: MS. SHERRY M ZITTER MSW, LISCW, BCD

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	106060	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	063033000	OTHER	MA	MAGELLAN PROVIDER NUMBER
2	0433895770000	OTHER	MA	CIGNA PROVIDER NUMBER
3	726778	OTHER	MA	TUFTS PROVIDER NUMBER
4	P04932	OTHER	MA	BCBS PROVIDER NUMBER
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1972694867
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERRY M ZITTER MSW, LISCW, BCD

Provider Business Mailing Address
First Line	:	21 LEWIS ST
Second Line	:
City	:	MAYNARD
State	:	MA
Zip	:	01754-1345
Country	:	US
Telephone Number	:	978-562-1801
Fax Number	:	978-562-1801

Provider Business Practice Location Address
First Line	:	45 LYMAN ST STE 19
Second Line	:
City	:	WESTBOROUGH
State	:	MA
Zip	:	01581-2658
Country	:	US
Telephone Number	:	508-366-8576
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2006
Last Update Date	:	10/05/2017

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Directions to “ MS. SHERRY M ZITTER MSW, LISCW, BCD” Practice Location

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