Luperon, Ellie
Luperon, Ellie is an individual health care provider with primary practice located at 20 Strathmore Rd , Worcester MA 01610-3414. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Exercise & Sports, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Luperon, Ellie can be contacted via phone (860) 933-4783.Contact Information
Primary practice address
20 Strathmore Rd
Worcester MA 01610-3414
Phone: (860) 933-4783
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | Massachusetts | |
Behavioral Health & Social Service Providers / Counseling | 103TC1900X | ||
Behavioral Health & Social Service Providers / Exercise & Sports | 103TE1100X | ||
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | Massachusetts |
Profile Details
NPI number | 1043563042 |
---|---|
LBN Legal business name | Luperon, Ellie |
Credentials | LADC |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Oct 16th, 2012 |
Last updated | Apr 1st, 2024 - about 7 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1043563042 | NPPES |
Massachusetts | MEDICAID | 1043563042 |
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