Provider Demographics
NPI:1477571776
Name:ALPER, MARK (LCSW)
Entity Type:Individual
Prefix:MR
First Name:MARK
Middle Name:
Last Name:ALPER
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2900 N. MILITARY TRAIL
Mailing Address - Street 2:SUITE 165
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33431-4869
Mailing Address - Country:US
Mailing Address - Phone:561-241-4311
Mailing Address - Fax:561-241-4313
Practice Address - Street 1:2900 N MILITARY TRL
Practice Address - Street 2:SUITE 165
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33431-6365
Practice Address - Country:US
Practice Address - Phone:561-241-4311
Practice Address - Fax:561-241-4313
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-17
Last Update Date:2009-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW62411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLZ9468ZMedicare ID - Type Unspecified