Beverly A Dangelo, LICSW
Individual provider Active NPI Clinical Social Worker · Hanscom Afb, MA
NPI 1386749232 · NPPES record last updated Mar 22, 2012
Key facts
- NPI
- 1386749232
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 795 (NH)
- Practice address
- 90 Vandenberg Dr
66TH MDS/Sgow
Hanscom Afb, MA 01731-2104 - Phone
- (781) 225-6392
- NPI assigned
- Sep 14, 2006
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 795 | NH | Yes |
| Clinical Social Worker | 1041C0700X | 1021988 | MA |
Addresses
Primary practice location
90 Vandenberg Dr
66TH MDS/Sgow
Hanscom Afb, MA 01731-2104
Mailing address
90 Vandenberg Dr
66TH MDS/Sgow
Hanscom Afb, MA 01731-2104
Phone (781) 225-6392
Other providers in Hanscom Afb, MA
- Kyung Min Chung
- Jay Scott Cloutier
- John F. Coke
- Sandra Elizabeth Colucci
- Callie Comstock
- Glenn Emery Degere
- David Anthony Digregorio
- Mohammed Fuad
- Andrea Lynne Galeucia
- Timothy Alan Gameros
All providers in Hanscom Afb, MA · Clinical Social Worker in Massachusetts
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 22, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.