Joseph Anthony Deangelis, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

1030425 Issued in MA

Practice address

109 Massachusetts Ave
Lexington, MA 02420-4001

Phone

(781) 862-6404

Fax

(781) 862-2390

NPI assigned

Mar 14, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Yes, effective Apr 9, 2024 through Apr 9, 2028

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Joseph Deangelis Licsw LLC

  • Clinical Social Worker
  • Tewksbury, MA
  • NPI 1760686596
  NPD (past) Authorized official

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1448928000000",
    "number": "1114995289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204001",
            "telephone_number": "781-862-6404",
            "fax_number": "781-862-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 MASSACHUSETTS AVE",
            "city": "LEXINGTON",
            "state": "MA",
            "postal_code": "024204001",
            "telephone_number": "781-862-6404",
            "fax_number": "781-862-2390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELIS",
        "first_name": "JOSEPH",
        "middle_name": "ANTHONY",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-14",
        "last_updated": "2015-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "1030425",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• DDM Radiology PC
• Marcia Maria De Campos
• Marlenny De Jesus
• Yajaira Alejandra De la Cruz
• Kethleen Jordana B Dealmeida
• Matthew Dearborn
• Daniella Maria Decampos, M.A.
• Ann Dechant, R.N.
• Nedda Del Plato
• Kristen Jalbert Delpaine, PT

• Clinical Social Worker in Lexington, MA
• Providers in Lexington, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.