Provider Demographics
NPI:1588646053
Name:ALPERT, ROBERT (LCSW)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:ALPERT
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 1:1807 JEFFERSON ST
Mailing Address - Street 2:SUITE A
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94559-1617
Mailing Address - Country:US
Mailing Address - Phone:707-257-6956
Mailing Address - Fax:
Practice Address - Street 1:1807 JEFFERSON ST
Practice Address - Street 2:SUITE A
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1617
Practice Address - Country:US
Practice Address - Phone:707-257-6956
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2005-11-18
Last Update Date:2010-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALCSW69741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
R20518Medicare UPIN
CAZZZ26366ZMedicare ID - Type Unspecified