Individual provider Active NPI

John F Delle Chiaie, LICSW

  • Clinical Social Worker
  • Boston, MA
National Provider Identifier
1326063520
Registry record updated Sep 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
101091 Issued in MA
Practice address
175 Warren Ave
Boston, MA 02116-5928
Phone
(978) 697-7312
NPI assigned
Jul 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 2, 2016

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 101091 MA Primary

Addresses

Primary practice location

175 Warren Ave
Boston, MA 02116-5928

Mailing address

175 Warren Ave
Boston, MA 02116-5928
Phone (978) 697-7312

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20040816000671 MA Practitioner - Clinical Social Worker 2668459678 Practice locations: Boston, MA

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1917MAMDAthletic Trainer

Practice roles

OrganizationSpecialtyStatusNew patients
Northeast Behavioral Health Corporation PastSince May 8, 2017 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472774400000",
    "number": "1326063520",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 WARREN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165928",
            "telephone_number": "978-697-7312"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "175 WARREN AVE",
            "city": "BOSTON",
            "state": "MA",
            "postal_code": "021165928",
            "telephone_number": "978-697-7312"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DELLE CHIAIE",
        "first_name": "JOHN",
        "middle_name": "F",
        "name_prefix": "Mr.",
        "credential": "LICSW",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-12",
        "last_updated": "2016-09-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "101091",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boston, MA

Sources for this page

Verify at the official NPI Registry.