Organization Active NPI

Delorme Counseling PLLC

  • Clinical Social Worker
  • Beverly, MA
National Provider Identifier
1366153306
Registry record updated Dec 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
DELORME COUNSELING PLLC
Practice address
1 Trafalgar Dr
Beverly, MA 01915-2516
Phone
(978) 807-1520
NPI assigned
Dec 12, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 12, 2022

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

Authorized official

Name
Jeannette Colon
Title
Credentialing Specialist
Phone
(978) 572-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1 Trafalgar Dr
Beverly, MA 01915-2516

Mailing address

1 Trafalgar Dr
Beverly, MA 01915-2516
Phone (978) 807-1520

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL SIMPLEPRACTICE

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1670803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1670803200000",
    "number": "1366153306",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 TRAFALGAR DR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152516",
            "telephone_number": "978-807-1520"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TRAFALGAR DR",
            "city": "BEVERLY",
            "state": "MA",
            "postal_code": "019152516",
            "telephone_number": "978-807-1520"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DELORME COUNSELING PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-12-12",
        "last_updated": "2022-12-12",
        "certification_date": "2022-12-10",
        "status": "A",
        "authorized_official_last_name": "COLON",
        "authorized_official_first_name": "JEANNETTE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "978-572-3420"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "SIMPLEPRACTICE",
            "affiliation": "N",
            "address_1": "1 Trafalgar Dr",
            "city": "Beverly",
            "state": "MA",
            "country_code": "US",
            "postal_code": "019152516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Beverly, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 12, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.