Active NPI
Philip John Detsch, LICSW
- Social Worker
- Marlborough, MA
National Provider Identifier
1275595043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 111984
- Practice address
- 157 Union St
Marlborough, MA 01752 - Phone
- (508) 486-5542
- Fax
- (508) 486-5508
- NPI assigned
- Apr 5, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 111984 | MA | Primary |
Addresses
Primary practice location
157 Union St
Marlborough, MA 01752
Mailing address
45 Samuel Prescott Dr
Stow, MA 01775
Phone (978) 897-8912
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 |
|---|---|---|---|
| 111984 | MA | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144195200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1275595043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "45 SAMUEL PRESCOTT DR",
"city": "STOW",
"state": "MA",
"postal_code": "01775",
"telephone_number": "978-897-8912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "157 UNION ST",
"city": "MARLBOROUGH",
"state": "MA",
"postal_code": "01752",
"telephone_number": "508-486-5542",
"fax_number": "508-486-5508"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DETSCH",
"first_name": "PHILIP",
"middle_name": "JOHN",
"name_prefix": "Mr.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-05",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "111984",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Marlborough, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.