Provider Demographics
NPI:1609980275
Name:ALPERT, DAVID JOSEPH (LMHC, LADC)
Entity Type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOSEPH
Last Name:ALPERT
Suffix:
Gender:M
Credentials:LMHC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1177 WASHINGTON STREET
Mailing Address - Street 2:FIRST FLOOR
Mailing Address - City:WEST NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02465-2121
Mailing Address - Country:US
Mailing Address - Phone:617-332-5523
Mailing Address - Fax:
Practice Address - Street 1:1177 WASHINGTON STREET
Practice Address - Street 2:FIRST FLOOR
Practice Address - City:WEST NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02465-2121
Practice Address - Country:US
Practice Address - Phone:617-332-5523
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-19
Last Update Date:2009-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA896101Y00000X, 101YM0800X
MA659101YA0400X
MALMHC #896101Y00000X
MALADC #659101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA1892444Medicaid
MALM0042OtherBLUE CROSS BLUE SHIELD