Active NPI
Elena M Deangelis, LICSW
- Social Worker
- Everett, MA
National Provider Identifier
1467590620
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- License
- 112176
- Practice address
- 173 Chelsea St
Tri City Mental Health Inc
Everett, MA 02149 - Phone
- (781) 388-6249
- Fax
- (617) 387-1089
- NPI assigned
- Feb 1, 2007
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Social Worker | 104100000X | 112176 | MA | Primary |
Addresses
Primary practice location
173 Chelsea St
Tri City Mental Health Inc
Everett, MA 02149
Mailing address
173 Chelsea St
Tri City Mental Health Inc
Everett, MA 02149
Phone (781) 388-6249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
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": "1170288000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1467590620",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "173 CHELSEA ST",
"address_2": "TRI CITY MENTAL HEALTH INC",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149",
"telephone_number": "781-388-6249",
"fax_number": "617-387-1089"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "173 CHELSEA ST",
"address_2": "TRI CITY MENTAL HEALTH INC",
"city": "EVERETT",
"state": "MA",
"postal_code": "02149",
"telephone_number": "781-388-6249",
"fax_number": "617-387-1089"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEANGELIS",
"first_name": "ELENA",
"middle_name": "M",
"name_prefix": "Mrs.",
"credential": "LICSW",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-01",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "MA",
"license": "112176",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Everett, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.