Joseph Thomas Demartino

Individual provider Active NPI Clinical Social Worker · Provincetown, MA

NPI 1497236608 · NPPES record last updated Aug 25, 2018

Key facts

NPI
1497236608
Entity type
Individual (NPI type 1)
Primary specialty
Clinical Social Worker 1041C0700X
License
1016209 (MA)
Practice address
68 Franklin St
Provincetown, MA 02657-1388
Phone
(508) 272-5843
NPI assigned
Aug 25, 2018
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1016209MAMDClinical Social Worker

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 1016209 MA Yes

Addresses

Primary practice location

68 Franklin St
Provincetown, MA 02657-1388

Mailing address

68 Franklin St
Provincetown, MA 02657-1388
Phone (508) 272-5843

Other providers in Provincetown, MA

All providers in Provincetown, MA · Clinical Social Worker in Massachusetts

Sources for this page

Verify at the official NPI Registry.