Provider Demographics
NPI:1134804396
Name:ZIPPIN, ALEXA (MSW)
Entity type:Individual
Prefix:
First Name:ALEXA
Middle Name:
Last Name:ZIPPIN
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:213 W 6TH ST
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02127-2632
Mailing Address - Country:US
Mailing Address - Phone:413-537-3524
Mailing Address - Fax:
Practice Address - Street 1:81 BRIDGE ST STE 215
Practice Address - Street 2:
Practice Address - City:LOWELL
Practice Address - State:MA
Practice Address - Zip Code:01852-1271
Practice Address - Country:US
Practice Address - Phone:413-537-3524
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-06-15
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical