Patrice Marie Depasquale, LICSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

118825 Issued in MA

Practice address

5 Chandler Rd
Salem, MA 01970-4203

Phone

(978) 744-5840

NPI assigned

Apr 16, 2015

Sex

Female

Sole proprietor

No

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

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

Specialty

Clinical Social Worker

Education

Other, 1998

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

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.

• Broken Vessel Counseling Services, LLC

  • Clinical Social Worker
  • Danvers, MA
  • NPI 1457180432
  NPD (past)

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

{
    "created_epoch": "1429142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1429142400000",
    "number": "1154718112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 CHANDLER RD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704203",
            "telephone_number": "978-744-5840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CHANDLER RD",
            "city": "SALEM",
            "state": "MA",
            "postal_code": "019704203",
            "telephone_number": "978-744-5840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEPASQUALE",
        "first_name": "PATRICE",
        "middle_name": "MARIE",
        "credential": "LICSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-16",
        "last_updated": "2015-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "118825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Suzanne Delvecchio, M.S., LMHC
• Kristina Athena Demetriou
• Sarah Deneen
• Stephen Dennesen
• Brooke Erin Dennis
• Mark Depot
• Meghan Elizabeth Derby, M.S.
• Jean Marie Deschene, LCSW
• Susan Desmond
• Marawan Desouky, MBBCH M.D. EQUIVALEN

• Clinical Social Worker in Salem, MA
• Providers in Salem, 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 Apr 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.