Individual provider Active NPI

William John Dell'Orfano, M.S.W.

  • Clinical Social Worker
  • Melrose, MA
National Provider Identifier
1013089465
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
1016653 Issued in MA
Practice address
22 Crystal St
Melrose, MA 02176-2706
Phone
(781) 665-6604
Fax
(781) 662-7604
NPI assigned
Nov 14, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1016653 MA Primary

Addresses

Primary practice location

22 Crystal St
Melrose, MA 02176-2706

Mailing address

22 Crystal St
Melrose, MA 02176-2706
Phone (781) 665-6604

Other identifiers 5

IdentifierTypeStateIssuer
121477OtherMAVALUE OPTIONS
P05023OtherMABLUE CROSS BLUE SHIELD
3457-01OtherMAPACIFIC BEHAVIORAL HEALTH
3457-01OtherMAHARVARD PILGRIM
2459628OtherMAAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051020000842 MA Practitioner - Clinical Social Worker 2365468154 Practice locations: Melrose, MA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

22 Crystal St
Melrose, MA 02176-2706
Phone (781) 665-6604

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1016653MAMDClinical Social Worker

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1013089465",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CRYSTAL ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762706",
            "telephone_number": "781-665-6604",
            "fax_number": "781-662-7604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CRYSTAL ST",
            "city": "MELROSE",
            "state": "MA",
            "postal_code": "021762706",
            "telephone_number": "781-665-6604",
            "fax_number": "781-662-7604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELL'ORFANO",
        "first_name": "WILLIAM",
        "middle_name": "JOHN",
        "credential": "M.S.W.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1016653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "VALUE OPTIONS",
            "identifier": "121477",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "P05023",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PACIFIC BEHAVIORAL HEALTH",
            "identifier": "3457-01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HARVARD PILGRIM",
            "identifier": "3457-01",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "2459628",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Melrose, MA

Sources for this page

Verify at the official NPI Registry.