Active NPI
C. W. Dean Tsapatsaris, LICSW
- Clinical Social Worker
- Danvers, MA
National Provider Identifier
1073615522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 105447
- Practice address
- 435 Newbury St
Suite 220
Danvers, MA 01923-1065 - Phone
- (978) 777-7188
- Fax
- (978) 774-1283
- NPI assigned
- Sep 4, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 105447 | MA | Primary |
Addresses
Primary practice location
435 Newbury St
Suite 220
Danvers, MA 01923-1065
Mailing address
435 Newbury St
Suite 220
Danvers, MA 01923-1065
Phone (978) 777-7188
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 715303 | Other | MA | TUFTS HEALTH PLAN |
| 016976 | Other | MA | HARVARD PILGRIM |
| 69186 | Other | MA | CIGNA BEHAVIORAL HEALTH |
| 011488 | Other | MA | VALUEOPTIONS |
| 052643000 | Other | MA | MAGELLAN BEHAVIORAL HEALT |
| P04879 | Other | MA | BLUE CROSS OF MA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 105447 | MA | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1157328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1073615522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "435 NEWBURY ST",
"address_2": "SUITE 220",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231065",
"telephone_number": "978-777-7188",
"fax_number": "978-774-1283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 NEWBURY ST",
"address_2": "SUITE 220",
"city": "DANVERS",
"state": "MA",
"postal_code": "019231065",
"telephone_number": "978-777-7188",
"fax_number": "978-774-1283"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TSAPATSARIS",
"first_name": "C. W. DEAN",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MA",
"license": "105447",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TUFTS HEALTH PLAN",
"identifier": "715303",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HARVARD PILGRIM",
"identifier": "016976",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA BEHAVIORAL HEALTH",
"identifier": "69186",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "VALUEOPTIONS",
"identifier": "011488",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN BEHAVIORAL HEALT",
"identifier": "052643000",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS OF MA",
"identifier": "P04879",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Danvers, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.