Active NPI
Elaine Virginia Dea, MSW
- Addiction (Substance Use Disorder) Counselor
- Bedford, MA
National Provider Identifier
1245312727
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- 101YA0400X
- Practice address
- 3 Kirtland Street
Bedford, MA 01731-2139 - Phone
- (781) 377-2418
- Fax
- (781) 377-4385
- NPI assigned
- Oct 20, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 101YA0400X | MA | Primary |
Addresses
Primary practice location
3 Kirtland Street
Bedford, MA 01731-2139
Mailing address
7 Hart Rd
Chelmsford, MA 01824-4344
Phone (978) 256-4771
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 |
|---|---|---|---|
| 101YA0400X | MA | MD | Addiction (Substance Use Disorder) Counselor |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1245312727",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7 HART RD",
"city": "CHELMSFORD",
"state": "MA",
"postal_code": "018244344",
"telephone_number": "978-256-4771",
"fax_number": "781-377-4385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 KIRTLAND STREET",
"city": "BEDFORD",
"state": "MA",
"postal_code": "017312139",
"telephone_number": "781-377-2418",
"fax_number": "781-377-4385"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEA",
"first_name": "ELAINE",
"middle_name": "VIRGINIA",
"name_prefix": "Ms.",
"credential": "MSW",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-10-20",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "MA",
"license": "101YA0400X",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bedford, 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.