Individual provider Active NPI

Christine M Delgreco Bisson, LICSW, LADC 1

  • Clinical Social Worker
  • Plymouth, MA
National Provider Identifier
1164826301
Registry record updated Dec 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
123535 Issued in MA
Practice address
310 Court St Ste 103
Plymouth, MA 02360-4372
Phone
(774) 316-3111
Fax
(774) 316-3122
NPI assigned
Oct 17, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 15622 MA
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 123535 MA Primary

Addresses

Primary practice location

310 Court St Ste 103
Plymouth, MA 02360-4372

Mailing address

310 Court St Ste 103
Plymouth, MA 02360-4372
Phone (774) 316-3111

Other practice location 1

345 Court St # Ll2
Plymouth, MA 02360-4329
Phone (774) 316-3111

Other practice location 2

161 Summer St Ste 7
Kingston, MA 02364-1275
Phone (774) 316-3111

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Opted out of Medicare
Yes, effective Mar 4, 2026 through Mar 4, 2028

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

310 Court St
Suite 103
Plymouth, MA 02360-4372

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671580800000",
    "number": "1164826301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "310 COURT ST STE 103",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604372",
            "telephone_number": "774-316-3111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 COURT ST STE 103",
            "city": "PLYMOUTH",
            "state": "MA",
            "postal_code": "023604372",
            "telephone_number": "774-316-3111",
            "fax_number": "774-316-3122"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "345 Court St # Ll2",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MA",
            "postal_code": "023604329",
            "country_code": "US",
            "telephone_number": "774-316-3111",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "161 Summer St Ste 7",
            "address_purpose": "LOCATION",
            "city": "Kingston",
            "state": "MA",
            "postal_code": "023641275",
            "country_code": "US",
            "telephone_number": "774-316-3111",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELGRECO BISSON",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Ms.",
        "credential": "LICSW, LADC 1",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-10-17",
        "last_updated": "2022-12-21",
        "certification_date": "2022-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MA",
            "license": "15622",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "123535",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MA

Sources for this page

Verify at the official NPI Registry.