Individual provider Active NPI

Dulcinea S Wetherell

  • Clinical Social Worker
  • Wilmington, MA
National Provider Identifier
1235853888
Registry record updated Nov 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
LICSW128395 Issued in MA
Practice address
362 Middlesex Ave
Wilmington, MA 01887-2127
Phone
(978) 737-7937
NPI assigned
Sep 28, 2022
Last updated
Nov 5, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 5, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LICSW128395 MA Primary

Addresses

Primary practice location

362 Middlesex Ave
Wilmington, MA 01887-2127

Mailing address

17 Bradbury Ave # 2
Medford, MA 02155-4911

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LICSW128395MAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Thrive Counseling LLC CurrentSince Nov 8, 2024 Accepting new patients
Massachusetts Detox Centers Inc CurrentSince Oct 2, 2022 Accepting new patients

Locations

872 Massachusetts Ave
Ste 2-2
Cambridge, MA 02139
Phone 6173804651 ext. 1992

85 Main St
Ste 3R
Watertown, MA 02472
Phone (617) 454-4916

362 Middlesex Ave
Wilmington, MA 01887
Phone (978) 737-7937

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1664323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1235853888",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 BRADBURY AVE # 2",
            "city": "MEDFORD",
            "state": "MA",
            "postal_code": "021554911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "362 MIDDLESEX AVE",
            "city": "WILMINGTON",
            "state": "MA",
            "postal_code": "018872127",
            "telephone_number": "978-737-7937"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WETHERELL",
        "first_name": "DULCINEA",
        "middle_name": "S",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-28",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "LICSW128395",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, MA

Sources for this page

Verify at the official NPI Registry.