Debra Vincetta Deangelo, LCSW

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

113416 Issued in MA

Practice address

9 Cedar St
Worcester, MA 01609-2586

Phone

(508) 331-7367

NPI assigned

Aug 21, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575072000000",
    "number": "1407962673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "843 BIG BEND DR",
            "city": "PACIFICA",
            "state": "CA",
            "postal_code": "940443806",
            "telephone_number": "508-331-7367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 CEDAR ST",
            "city": "WORCESTER",
            "state": "MA",
            "postal_code": "016092586",
            "telephone_number": "508-331-7367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEANGELO",
        "first_name": "DEBRA",
        "middle_name": "VINCETTA",
        "name_prefix": "Ms.",
        "credential": "LCSW",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-08-21",
        "last_updated": "2019-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MA",
            "license": "113416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nicole Dean
• Philip John Dean, M.D.
• Jaelah Deangelis, MMS PA-C
• Maria Deangelis
• Nicola A Deangelis, M.D.
• Edward J. Deangelo, M.D.
• Sydney Dearmond, PA-C
• David J. Deary, P.A.
• Anindita Deb, M.D.
• Marlene Debarros

• Clinical Social Worker in Worcester, MA
• Providers in Worcester, MA by specialty
• Clinical Social Worker in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2019; 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.