Active NPI
Frank Joseph Dezenzo, LICSW
- Clinical Social Worker
- Amherst, MA
National Provider Identifier
1326126608
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Practice address
- 150 Fearing St Ste 13
Amherst, MA 01002 - Phone
- (413) 687-9988
- NPI assigned
- Nov 2, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
150 Fearing St Ste 13
Amherst, MA 01002
Mailing address
111 Daniel Shays Hwy Unit 8
Belchertown, MA 01007-8920
Phone (413) 687-9988
Other practice location 1
150 Fearing St Ste 13
Amherst, MA 01002
Phone (413) 687-9988
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 25011 | Other | HEALTH NEW ENGLAND | |
| PO2855 | Other | MA | BLUE CROSS BLUE SHIELD |
| 7799629 | Other | MA | CIGNA |
| 008378 | Other | MA | UNICARE STATE PLAN |
| 1092620 | Other | BEACON HEALTH STRATEGIES |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Nov 16, 2021 through Nov 16, 2027
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": "1162425600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1539734400000",
"number": "1326126608",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DANIEL SHAYS HWY UNIT 8",
"city": "BELCHERTOWN",
"state": "MA",
"postal_code": "010078920",
"telephone_number": "413-687-9988"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 FEARING ST STE 13",
"city": "AMHERST",
"state": "MA",
"postal_code": "01002",
"telephone_number": "413-687-9988"
}
],
"practiceLocations": [
{
"address_1": "150 Fearing St Ste 13",
"address_purpose": "LOCATION",
"city": "Amherst",
"state": "MA",
"postal_code": "01002",
"country_code": "US",
"telephone_number": "413-687-9988",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DEZENZO",
"first_name": "FRANK",
"middle_name": "JOSEPH",
"credential": "LICSW",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-11-02",
"last_updated": "2018-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTH NEW ENGLAND",
"identifier": "25011",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "PO2855",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "7799629",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNICARE STATE PLAN",
"identifier": "008378",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BEACON HEALTH STRATEGIES",
"identifier": "1092620",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Amherst, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.