Bruce Edward Deveau, LICSW
Individual provider Active NPI Clinical Social Worker · Newburyport, MA
NPI 1043301187 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1043301187
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 111489 (MA)
- Practice address
- 42 Pleasant St
Suite 7
Newburyport, MA 01950-2606 - Phone
- (978) 462-3287
- Fax
- (978) 462-3287
- NPI assigned
- Sep 27, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Clinical Social Worker
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
Practice addresses (Care Compare)
102 Bridge Rd
Suite 2 L
Salisbury, MA 01952-2410
Phone (978) 462-3287
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MA
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: No · Power mobility devices: No · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050106000279 | MA | Practitioner - Clinical Social Worker | 1052369030 | Practice locations: Salisbury, MA |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 111489 | MA | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Patricia Dell-Ross, Inc. | Clinical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 111489 | MA | Yes |
Addresses
Primary practice location
42 Pleasant St
Suite 7
Newburyport, MA 01950-2606
Mailing address
42 Pleasant St
Suite 7
Newburyport, MA 01950-2606
Phone (978) 462-3287
Other providers in Newburyport, MA
- Dental Partners of Newburyport
- Dental Partners of Newburyport, LLC
- Olga Desimone
- Bronson Destadler
- Kathleen Destadler
- Donna J Devlin
- Diane C Dubin
- Gail Dickson
- Jennah Leigh Dieter
- Digital Hearing Healthcare, Inc.
All providers in Newburyport, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.